|
-~ _ - C CC~4M4N Q e.f IC ,:
<br /> • I III -,1
<br />•
<br /> III IIIIIIIII III
<br />999
<br /> MINED LAND RECLAMATION DIVISION
<br /> WA M N O N H T
<br />Operation: ~QI.Dt~.~o ~nrnn CYa~ Ce,-Cc~,haw,QAr~ File #:-1~-1~7
<br />Company/Address: Y~c -5 o Ei,~z
<br />Specialist:Q.~b~,.-1~ L,, le, ~.v. Y r,<<,~',~I S~be.-,fie hsklcv
<br />Date:$ d BS~tme: Weath r: •!ar"fly Ciev\,~- S4.e~rcFt
<br />Genera Location:
<br />General Comments:
<br />
<br />I. FIELD SAMPLING
<br />Site-f6~fype Flow/Level off EC Temo Comment
<br />i=KP !~y Sp .p -' S ~, ~-S al, `fpc `bc.*w,te SBI
<br /> PN0. ~f~~ ~LfS A~r
<br />
<br />
<br />
<br />
<br />
<br />II. Laboratory Samples
<br />1. $11:e~ .., - nr~tin~~~xQKgSOg A
<br />Lab: ~_'~ Par~m`eters: u. f Gfno•.) ,-,::-_•Descr tton:
<br />Disposition: ';clS !;\ltf..9/~c•$/~~, Composite:
<br />Sample Split: y~~ omments: ~ ,6-; {'~ ~('~,ls ure J~11.
<br />Flow/Leve1:~,LpH:Y~Temp.~(,'r EC.2l~ry Other: YI;Iy (~M ~G,?%,P.~-
<br />2. Site ID.: >=k1'K~~rr~
<br />Lab: I~ Parameters:(1,,,;'., lrin,,~,9 Descr tion:Sk,u.c~«~..o~ i'~I~~t
<br />Disposttton: ~elu ~ilie~~~ rab Composite
<br />Sample Spl it: ~ ~ ~ Comments: s -~~o ewr e ~ ~' ,~;„~w.~•n
<br />Flow/Level: -~ p :~~ ~.~Temp. ;~~,. ., OLLN^J ter:
<br />3. Site ID.• ~ *' ~c ~~ ~ti Z
<br />LabP~Para eters• Ar ; ra;, w, escrtgtton:pe~,l„ ,. •, -fit r
<br />Dis osttton: .e(~0 ;11e c Com osite:
<br />Sample Split: YtJ Comments:
<br />Flow/Level: ---_ pH: - Temp. ~~ EC.^~yYO Other:
<br />4. Site ID.: E -~O
<br />Lab: -= Par~ra eters: ark' G~e/ Des i tton:~ n,lc ~~~Ilodh-~G
<br />Disposition: ,c(,y rl~e ~ i< d ra /Com~ite:
<br />Sample Split: ~'rf Comments:
<br />Flow/Level: ~~ p Temp. EC. Other: iaTt
<br />5. Site ID.: Location:
<br />Lab: Parameters: Description:
<br />Disposition: Grab/Composite:
<br />Sample Split: Comments:
<br />Flow/Level: pH: Temp. EC. Other:
<br />~SP~
<br />ire.-~.~. ,~.
<br />..,~,
<br />CHAIN OF CUSTODY G / ` p ~
<br />. Transferred from: To: ~{ Time/Date: o ~~ ~-` y~ ~
<br />1. Transferred from: To: Time/Date:
<br />1. Transferred from: To: Time/Date:
<br />1.~~Transferred from: To: Time/Date:
<br />Received at Lab by: Date:
<br />4 85 Doc. 8934E
<br />
<br />
|