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TER SAMPLE COLLECTION FORM• • III IIIIIIIIIIIII~II <br />sss <br /> <br />Date/7pr~~ 1~~ 14'81 ~ . <br />-r---- (~ <br />Name of Person Taking Samples IJo C~~.-,.~4 f ~o~-T~%CG~ <br /> Surface Water Ground Water Depth to No. of C <br /> Monitoring Location Monitoring Well No. Water Level Samples Temp. <br />l- C1+1-i lo~~~~ l /~ <br /> <br /> <br /> <br /> ~1 ~ II <br /> <br /> ~~ i ,_)c_~ e. r <br />6. '' I <br />7. t - ~ ~~ <br /> i~ <br />i <br /> j' <br /> ~t 1~ <br />to. <br />11. <br />iz. <br />Ground Water Monitoring Well Information: <br />Well Designation Strata Penekrated Death Perforated interval <br />f <br />•.J <br />