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GROUNDWATER SAMPLE COLLECTION DATA FORM <br /> SAMPLE I D NO : M W- 3 WELL NUMBER. 3 <br /> DATE/TIME y-R-92 iz ' ao WEATHER <br />' ANALYSIS a 0rri r b <br /> WELL PURGING DATA. FILTERED? Yes <br /> 1 v <br /> Initial depth to water: Filter Device. In-line <br />' Depth of well: Filter barrel <br /> Volume of water m well: Lab <br /> Datelt.ime at start of purging: V' Other <br />' Method of purging: <br /> Method of Decontaminating <br /> purging equipment: <br /> Coit cX i <br /> WATER QUALITY OBSERVATIONS DURING PURGING: <br />' Volume Depth to <br /> Date/time purged water JTemp.; PHF EC Umhos <br /> Z *Oct <br /> r <br /> 17,13 ► 7 s <br /> 7`✓ Y, f <br /> SAMPLE CONTAINER DATA: SAMPLE METHOD: <br /> Purn <br /> ' Number/type of container. <br /> Other. <br /> ' VOA capacity: <br /> preserve: . <br /> ' — Amber capacity: h6 oz <br /> preserve: – a– <br /> Plastic capacity: <br /> preserve: <br /> Other (describe): <br /> SAMPLE PRESERVA N METHOD: <br /> Iced Other (describe): <br /> 9 Z <br /> Signature: Date/Time: Z:Z 7 <br /> M�cdy 1991 <br /> 1 <br />