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<br /> <br />W TER SAMPLE COLLECTION FORM <br />~ iii iiiiiiiiuiii iii <br />t i Date ?~z~`81 - - <br />Name of Person Taking Samples ~,~„-,-,_,_~, <br /> Surface Water Ground Water Depth to No. of <br /> Monitoring Location Monitoring Well No. Water Level Samples Temp. <br /> <br /> <br />3' _ ~11- I t ~'~'n~~ ~ ic• -c <br />4' <br />C r'Y -~~ - <br />~~ i>- -Z i L- c. <br />5. - <br />6. <br />!'{ - - _ <br /> <br />7. i~~ _~ `J~ ~ <br />8. ~l I - 3 ~)~ _ _. <br />9. ' _ <br />10. <br />11. <br />12 . <br />Ground Water Monitoring Well ]nformation: <br />Well Designation Strata Penetrated <br />Depth Perforated Interval <br />