INSPEC43899

• Permit No: C1981047
• IBM Index Class Name: Inspection
• Doc Name: COAL INSPECTION REPORT
• Inspection Date: 6/12/1986
• Media Type: D
• Archive: No

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-• MINED LAND RECLAMATION DIVISION
MONITORING FACT SHEET
// ~ LABORATORY SAMPLES
Operation: ~~/[' ~660l.. Cu.~ Con., cn/ File (k: C'v~7' ~l
Company/Address: „J, ~ /35"~L ~ n ,'s r,~° ~D ~IS~G Mine Contact: c•r~% -',•~
Specialist: %o p, S'~h,rPin~(-
Date: 6~I?/~G Time: /~30 ,/vl, , Weather: ClPnr
Comments: (j~.,l, .x G%n,._,GI'~~, Laboratory: loo %/;dFf ~C~hoiai~ry
1. Site ID.:`~Q~7~(oOG/~.. I Location: MriZ ~PnC'l~ /~~~C~PO/l. ~~ P%~!s' C •
Full Ground Water/Full Surface Water/Partial Samp/le/Geo. Soil rab Composite Filtered/Raw
Disposition:~c„,/,J~ (/oS O~~t2c7[i., ., ~rt~~lPcY ~~n/>c.~C env n~,~ Time:
Sample Split: Np /~ / Comments: ~%~ir~/,.v a fYt'P~ c''.."'~.
~~a
Flow/Level: pH: Temp. EC. Other:
2 . Site I D . y- ~, c t i ~" f ~ ~~ C 1, ~ ~' ~ %
- Full Ground W er/ u 1 face W er/ a tial amp eo.' ~i rab o t /Filtered/Raw
Dispositio s ~: c.cs ~„ 2~, is ~u ~j.. ~•~ S ,~; ~ Time:
Sample Split: Comments: S/cc~ ~o~.~
I
Flow/Level: pH: Temp. EC. Other: S~+'F.~(/Va~~(.L~~•~.
3. Site ID.: Location:
Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition: Time:
Sample Split: Comments:
Flow/Level: pH: Temp. EC. Other:
4. Site ID.: Location:
Full Ground 4later/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition: Time:
Sample Split: Comments:
Flow/Level: pH: Temp. EC. Other:
5. Site ID.: Location:
Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition: Time:
Sample Split: ~ Comments:
Flow/Level: pH: Temp. EC. Other:.
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CHAIN OF CUSTODY '` ~~
. TS,
1. Transferred from: v?'1 To: Time/Date:
I. Transferred from: To: Time/Date:
Received at Lab by: ~ ~ ~ Date:
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