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<br />MINED LAND RECLAMATION DIVISION
<br />MONITORING FACT SHEET
<br />FIELD SAMPLING
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<br />Specialist: ~x„_~~~ rrYr-r '
<br />Date:3 2z-:3/S~Time: Weather: P~ur,r„1 h-,,.n !~I,~/~ /-„ (~lN
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<br />CHAIN OF CUSTODY
<br />1. Transferred from: To: Time/Date:
<br />I. Transferred from: To: Time/Date:
<br />Received at Lab by: Date:
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