REP32463

• Permit No: C1981018
• IBM Index Class Name: Report
• Doc Date: 6/8/1990
• Doc Name: REFUSE & TOPSOIL ANALYSES FN C-81-018
• From: MLRD
• To: WESTERN FUELS UTAH INC
• Permit Index Doc Type: REVEG MONITORING REPORT
• Media Type: D
• Archive: No

- _ - --- -~'l!L- - - Page of '
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- HIKED LAND RECLAl1pTi0N DIVISION
--- - MONITORING FAQ' SHEET -
LABORATORY $pNPLES (~'/ /
Operation: ~n C - Fi e #: ~-dl-
Company/Address: .t - Hine Contaci:J,.~ C~w'~^i(lc
Specialist: p -
Date: d Time: ~.3Bd Weather: iii
Comments: Laboratory:
2, Site ID.: Q/B~~L~t74 iQ Location: ~,.('~
Full Ground Water/Full Surface Water/Partial Sample/
Disposition: ~+ -
Sample Spli[: ~eC Commen[aa.yvi
Flow/Level: pH: Temp. EC.
2, Site ID.: Location: --
2 ~~~
1/Grab/Composite/Filtered/Rav
Time:
.5'
Other:
Full Ground Watez/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition: Time:
Sample Split: Comments:
3
Flow/Level: pH: Temp. EC: Other:
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:
Site ID.: Location:
Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Raw
Disposition: Time:
4
Sample Split: Comments:
Flow/Level: pH: Temp.
Site ID.: Location:
5
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:
CHAIN OF CUSTODY
1. Transferred from: To: Time/Date:
1. Transferred from: To: Time/Date:
Received at Lab b} :~~.r„t~ Date : 5~9~4 c">
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