ENFORCE24381

• Permit No: C1981019
• IBM Index Class Name: Enforcement
• Doc Date: 4/25/1996
• Doc Name: ANALYSIS RESULTS
• Violation No.: CV1996011
• Media Type: D
• Archive: No

Page of
Operation:
Company/Address:
Specialist: °~IP~,
Dale: ~1711191n Time:
Comments:-~'~~
MINED LAND RECLAMATION DIVISION
MONITORING FACT SHEET
LABORATORY SAMPLES
File (k: C-a~'V~~
R~(p~ Mine Contact: {y~ /]
Weather:
1. Site ID.: ~'r ~ Location:~~
Full Ground Water/Full Surface Water/Partial Sample/
Disposition: ~i,YC I'7~~Of_~l/1~1L'~C61U2.YL1,Y1 - L~1,i.{
Sample Split: /~/() Comments:
Flow/Level: pH: Temp. EC.
2. Site ID.: Location:
ory:
./Soil/ rab Composite/Filtered/Raw
S'LL ~~ SS Time: ;~'~)~7,m.
Other:
Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition: Time:
Sample Split: Comments:
Flow/Level:
3. Site ID.:
Temp. EC.
Location:
Other:
Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition:
Sample Split: Comments:
Flow/Level: pH: Temp._
4. Site ID.: Location:
EC.
Other:
Full Ground Water/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 Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition: ~ Time:
Sample Split: Comments:
Flow/Level: pH: Temp. EC. Other:
CHAIN OF CUSTODY
1. Transferred from: To: Time/Date:
1. Transferred from: To: Time/Date:
Received at Lab by:~o~~1~ Date:_~ 96
Time:
8934F OOOY RMODYA