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i - } - -_ <br />~. Page ~ of <br />_ - MINED LAND RECLATfATION DIVISION <br />' - MONITORING FACT SHEET <br />•g`:f:,p, .~ - ~ - _ ~ ~ ~ ~ LABORATORY SAMPLES <br />Operation: EGk - l.1a k File fi: ~ ~~~ OBI <br />Company/Address: nlo(F+IJ n n„n1 M,25S (1r„{~ ,,( 2~ O..L[r<rk ~a~ine Contact: //,rt N•l+r <br />Specialist:~,„~ ca+~± ~ R„r 7 rGr{ - <br />Date: {/,~Time:3;jJ y.m. Weather: f'I*°r-r nr~lm <br />Comments: -T- ~ ' Laboratory: A[ 2 <br />(a716BoSu <br />1. Site ID.: S~r~n^ ~~y Location: En~.+n~t '+0 Y/+^.~ r ~ f[~~,v,r,,n ~,,,,~ <br />Full Ground Waterl u ur1 ace a e `Pt.rtial Sample/Geo../Soil/GrabJComposite/Filtered/Raw <br />Disposition: Sh,~,n~f 1[r~ iinmrr~'r~~<~y <br />Time: 9,'3J .,..n. /r.,,n+.~l <br />Sample Split: V~< Comments: Sn,i'1• ~ ~e....~,n~ r !/ i <br />Flov/Level:1f, y9 (!~5-, pH:~~Temp. S3` EC. ,?72 ~ Other: <br />2. Site ID.: C,w,~~.a2 ~O71t7~11 el_Location: ~r;r~. a-2 ubOvr ~r,t~ A <br />^T J ../ <br />Full Ground Water/Full Surface Water/' r is /Geo./Soil/Grab/Composite/Filtered/Raw 1 ru ~~ <br />Disposition: o-u..n1 Irr~ imrYltd' ntply Time: ID;?[~n,~ ~'}~~ Y/ <br />Sample Split: „!S Comments: O~Jtrv,~„/ rtr Y~~+ raw Sn,gn D1C <br />Flow/Level: ,21TS, ~ pH:~~Temp. y9~F EC. 3(7t7(~ Other: <br />3. Site ID.:~,v;~,6-3 ~o~IRAeS~I C~Location: $pr;rr ~-3 ; ~~o,ir P/eJ~ <br />T- <br />Full Ground-.Water/Full Surface Water/ artia a Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition: S~,mn~t `1[f~d~ ~ Time: IO~S:.~c,n,~"/P'~Y <br />Sample Split: ti.-~, Comments: 00r~ti ~*^' rtrr`"~ r.~w SZn .,~i~~r <br />Flov/Level: ,~\DO (:G.S. pH: Temp. S1rF EC. _?/z~U Other: <br />-. Site ID.:~r;r~C-I~n71FF0-:II ~~ Location: <,n~~n,C-i r u~s..r l~~r~ r'} <br />Full Ground Ylater/ ull Sur are~ez~3artial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition- ~e.wfit trFr11 - Time: /f:00 ~...9r7fJ. 1 <br />i• <br />Sample Split: Y~5 Comments: opr.r.tr rrr+~~-~ rhw Sa.m?! <br />Flov/Level: - ~~~I/C1 ~~ - pA: ~,6 Temp. ~~~ EC. 3D3r>-- Oth//~~er: <br />~. Site ID.: Z1C nm~ C~iRfi AGII F1 Location: 5n~;nr nco<.,n rn,,r~ y.~n /~ rt <br />_ , <br />Full Ground Water/Full Surface Water arts amo /Geo./Soil/Grab/Composite/Filtered/Rav <br />Disposition:~;.w,n`P l~~l/l Time: 11~3t~1~/,n/~~~, <br />Sample Split: ,.comments: 0('~rrn ~' ~P/flvrj,l 1/rtw Su MgIP <br />Flow/Leve1:F.= ./'1 ~.= ,F~ pA:~Temp. `j~F EC. ~Ot7D Other: ~;,r„?- ...,~ .• _ ~, n'Y <br />ti " n 1~M, FI. r.+~ <br />:RAIN OF CUSTODY <br />_. Transferred from: To: Time/Date: <br />;. Transferred from: ( Toro: Time/Date: <br />received at Lab by: 1/y/./~ /~J . ly'~C+.L~4J!~G~ Date: ~ ~~-..',~ r~~~r~i~r%~ ~ ju <br />- G~- U (/ <br />3934F OOOYRMODYA <br />