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Diviston of Minerals and Geology-Minerals Program Report Date: Prepared by: <br /> GROUNDWATER COMPLIANCE TRACKING Permit No.: }1V(— 7 7 y1/3 Site name: C I <br /> Semi- <br /> FREQUENCY OF SAMPLES: Weekly Weekly Weekly Weekly Semi-monthly Monthl Bi-monthly ouarterly annuall Annually I annual' Once <br /> Sample tvoe(GW/SW) vj 77 . <br /> Sample rec'n o(es/no) Q $ <br /> Sample no/site name W <br /> Samole tvoe(GW/SW) <br /> Sample rectl (ves/no) ( 11 y it� 5 <br /> W <br /> Sample tyPe(GY//SW) V✓ <br /> SamNA rectl°(ves/no) 7 U 0 <br /> Sa o!site name W <br /> Samole tvPe(GW/SW) V13I <br /> Sample rec'd 9(ves/no) i 9 I O <br /> Samole no/site name _ I <br /> Sample Me(Gw svv) <br /> Samole rec'd v(yes/no), <br /> Samole no/site name <br /> I Sample type(GW/SW)- <br /> Samole reed?(es/no) <br /> ,Samole no/site name: <br /> I <br /> Sample tyoe(GW/SW) <br /> Samole rectl?(es/no) <br /> Sample no/site name. <br /> Samf oe(GW/SW) � � I <br /> Samc _co v(es/no) <br /> Sample no/site name. 1 <br /> NOTES: Iq W <br />