HYDRO24804

• Permit No: C1981033
• IBM Index Class Name: Hydrology
• Doc Date: 8/4/1987
• Doc Name: BEAR COAL CO PN C-81-033 JUNE WATER SAMPLE RESULTS
• From: MLRD
• To: BOB LIDDLE SUSAN MOWRY
• Permit Index Doc Type: OTHER GROUND WATER
• Media Type: D
• Archive: No

1 • ~'

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MINED LAND RECLAMATION DIVISION
MONITORING FACT SHEET
LABORATORY SAMPLES
Operation: 'fb'"(~
Company/Address: ~
Specialist:'~r
Date: (o~//, ~j} Time
Comments:
p33$-106111
File ~: ~ B ~ -~~~
Mine Contact : G,r ,.
//goo Weather:
tory:
1. Site ID.: iQ~Q~ / Location: 5y~/ o ~~,~„-f' .~~,~ „row Be....~-3~ku~i~
Full Ground Water/Fnull Surface Water/Partial Sampl'e/nGeo./Soil/Grab/Composite/Filtered/Raw
Disposition: ~{~ ~~ ~,,,,~,- ~J~ 1« ~te~l „1~.6o-.~L~ ~j~Z Time: /~%30
Sample Split: /VO Comments:
Flow/Level: pH: 'f /STemp. 7/• S EC. ~S/o Other:
2. Site ID.: guy Location:___7[ ~6~`~ I
Full Ground Water/Full Surface WaterJPartial SampleJGeo./Soil/Grab/Composite{Filtered/Rav
Disposition: Time:
Sample Split:
3
Sample Split: Comments:
Flow/Level: pH: Temp. EC. Other:
4. Site ID.: Location:
Fu 11 Ground 4latec/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 Wa[er/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition:
Sample Split:
Flow/Level:
Temp. EC.
CHAIN OF CUSTODY
1. Transferred from: To:
1. Transferred from: To:
Other:
Time/Date:
Time/Date:
Received at Lab by: ~ ~~v.-i ~' . ~_~~'J// Date: G / /
8934E
Flow/Level: pH: Temp. EC. Other:
Site ID.: Location:
Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Rav
Disposition: Time:
Comments:
Time:
Comments:
O O O Y R M O D Y A