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HYDRO21936
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HYDRO21936
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Last modified
8/24/2016 8:43:07 PM
Creation date
11/20/2007 2:36:50 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981010
IBM Index Class Name
Hydrology
Doc Date
6/11/1987
Doc Name
MONITORING FACT SHEET LABORATORY SAMPLES
Permit Index Doc Type
DMG SAMPLING
Media Type
D
Archive
No
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III IIIIIIIIIIIIIIII <br />MINED LAND RECLAMATION DIVISION 9ss <br />MONITORING FACT SHEET <br />T1~ LABORATORY SAMPLES <br />Operation: 1{~~ERNIUE File Ik: C-~I-OIO <br />Company/Address: TRAPPER HIUIN6 SNC. PO BO~c ~ 7 CQAI6.CJ blbzb Mine Contact: WH. FFAI?DIIJ6 <br />Specialist• ,f~}.{C-S G ST~VENS 17.,{FNDY p. PRICE <br />Date: ~ II $"( Time: ~I:00 {}N Weather: lr/F-Z <br />Comments: '('RAP~(t 12EP TOpK REPLICATE SANP(.S Laboratory: <br />1. Site ID.: e,Ol-tP~T~I ~RIA16 Location: ~T SaY4NC-~/d 32 'r6N-R91~'J <br />WNS Ff <br />Full Ground Wate /Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite iltere Raw <br />Disposition: SEiJpCOPY~.YSK~'0 DIU151'D-J ~D lD ~fR~+PPEg Time: <br />Sample Split: NO Comments: SRHPL~WkS~ILTL~REAINFIEiD <br />Flow/Level: C1,T 16PM pH: 6.96 Temp. IZoC EC. 2.480 Other: <br />2. Site ID.: Location: <br />Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition: Time: <br />Sample Split: Comments: <br />Flow/Level: pH: Temp. EC. Other: <br />3. Site ID.: Location: <br />Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition: Time: <br />Sample Split: Comments: <br />Flow/Level: pH: Temp. EC. Other: <br />4. Site ID.: Location: <br />Full Ground Y]ater/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition: Time: <br />Sample Split: Comments: <br />Flow/Level: pH: Temp. EC. Other: <br />5. Site ID.: Location: <br />Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition• <br />Sample Split: Comments: <br />Flow/Level: pH: Temp. EC. Other: <br />CHAIN OF CUSTODY <br />ime: <br />1. Transferred from: To: Time/Date: <br />1. Transferred from: To: Time/Date: <br />Received at Lab by: ~-c-vac.-.-. C. ~ ~~Date: (p~/ 2- /~7 <br />8934F OOOYRMO DYA <br />
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