REP45502

• Permit No: C1981018
• IBM Index Class Name: Report
• Doc Date: 12/1/1992
• Doc Name: REFUSE AREA REVEGETATION STUDY
• Permit Index Doc Type: REVEG MONITORING REPORT
• Media Type: D
• Archive: No

__-_
peration:
Company/Addre
_ _.- - Page _ of
R
MINED LAND RECLAMATION DItIISION
- MONITORING FACE SHEET '
LABORATORY SAKPLES p
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3:ocl Weather: ti [B /S
-Comments: ~~ ~ ~
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.Full Ground Water/Full Surface Water/Partial Sample/Geo.
' Disposition: //
Sample Split: ~oc Comments: /` ~ ~t'.T'C
Flow/Level: pH: Temp. EC.
~t/ory:
!/
r .~ ar<
Other • "` - ' ~"
2. Site ID.: Location:
' Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Rav
Disposition: Time:
Sample Split: Comments:
t Flow/Level: pH: Temp. EC. Other:
3. Site ID.: Location:
' Full Ground Water/Full Surface Water/Partial Sample/Geo./Soil/Grab/Composite/Filtered/Rav
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/Rav
Disposition: Time:
'
Sample Split: Comments:

Flov/Level: pH: Temp. EC. Other:
,5. Site ID.: Location:
Full Ground Water/Full Surface Water/Partial Sample/Gea./Soil/Grab/Composite/Filtered/Rav
' Disposition: Time:

Sample Split: Comments:
' Flow/Level: pA: Temp. EC. Other:
CH AIN OF CUSTODY
l. Transferred from: To: Time/Date:
'
1. Transferred from: To: Time/Date:

e ceived at Lab by:~ „rn / upEt~ Date: S~9/`/i.'
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site/Filtered/Raw
Time:
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