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Page I of 1 <br /> MINED LAND RECLAMATION DIVISION <br /> MONITORING FACT SHEET <br /> FIELD SAMPLING <br /> Operation: LA - ✓V File #: C -7 <br /> Company/Address: Mine Contact : <br /> Specialist : <br /> Date: Time: Weather: �1/y► <br /> Comments : L oratory: <br /> Site ID. Type Flow/Level pH EC Tem %Bailed Comments <br /> 0-12C E5 ai t 51.5 aL= F-e ti <br /> 7C 5 <br /> ( 4� 4c <br /> p Z <br /> 644 - .v <br /> . <br /> 58� <br /> CHAIN OF CUSTODY <br /> 1. Transferred from: To: Time/Date: <br /> 1. Transferred from: To: Time/Date: <br /> Received at Lab by: Date: <br /> 8934F 0 0 0 Y Y M M D D A <br />