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FEB F 21988 <br />MINED LAND <br />CiECLp,MATION DIViStON <br />aeration:' -~ wiw <br />~mpany/Address:~'~ <br />;pecialist:~ wu <br />,ate:/•2=-YP Time <br />•~mment6: QLO a..~~ <br />~~ <br />MINED LAND RECLAMATION DIVISION <br />MONITORING FACT SHEET <br />LABORATORY SATSPLES <br />,, „j 2•tl File ~:. <br />Page 1 of ~ <br />~A ~.-. <br />• . x <br />-~ OS,t - Y3 <br />,, C a Mine,. ~onty3Gi~ ~o! ' <br />=orY: A CZ <br />Site ID. C-oStr$3 tJCi Location: ?w:., P:,,sr A1~. ~. M we <br />p11.Ground Wat /Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/~ <br />Disposition: Sew ae AC2 Ld1,i S~oa.a.~e.~ 'S~r'•..~,L~ CO Time: <br />Sample Split: N /q Comments: J=e 1 O,f 7e n. <br />Flow/Level: NO m pH: Zi 7T Temp. L 1•S°FEC. /:0 Other: j,a.J~.~rr t ~~n C~4C0~ <br />?. Site ID.: Location: <br />Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition: Time: <br />Sample Split: <br />Comments: <br />Flow/Level: pH: Temp. EC. Other: <br />^. Site ID.: Location: <br />Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition: Time: <br />Sample Split: Comments: <br />Flow/Level: pH: Temp. EC. Other: <br />4. Site ID.: Location: <br />Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition: -~ Time: 1:• <br />Sample Split: Comments: ~ .r,z"~ <br />Flow/Level: pH: Temp. EC. Other: <br />5. Site ID.: Location: <br />Fu11 Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw <br />Disposition: Time: <br />Sample Split: Comments: <br />Flow/Level: pH: Temp. EC. Other: <br />GRAIN OF CIISTODY <br />1. Transferred from: ~ W To: Bus CD. Time/Date: ~~14I8$ <br />1. Transferred from: To: Time/Date: <br />Received at Lab by: ~L3' Date: U,~T/(~~// j5 <br />8934F OOOYRMODY <br />1 <br /> <br />,. <br />/.'1:10 ~~' <br />