2013-11-26_HYDROLOGY - M1977300 ‎(4)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 11/26/2013
• Doc Name: Water Data for September 2013 - 3
• From: Cotter
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

COTTER CORPORATION SAMPLES BMITTAL AND TRACKING FORM
Sample Submittal It'
C: P.O. Box 1750 S: P.O. Bo 1750 N: P.O. Box 700
Canon City, CO 81215 Cafion , CO 81215 Nucla, CO 81424
Sample Loc./ID No. "Q-13 Lab. No.(s) _
Sample Date r M ' limey 0
Collected By 6¢''^�
Field Custodian _ '" �. >�`'" t
Delivered By
Received By
Date Recd.
l
Time Recd.
a.v�wa
Un "01M APMURNUU11
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1. Sample Type: Air Water
2. Analysis — Test series requested:
3. Field Data — Pre ervation:
ate Data Entered ,
ata Entry By
aboratory D_ estination if not Cotter:
� q ' S�•�r. mow. �► � � ,- � �� t✓ y
ell-
Soil Other (specify):
7 -1
4. Date analysis required by (if not Holding Time): .
S. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial
COMMENTS - Explanation of noted items: SO
ti
) and explain below.
� 0.3
IV )
:1 46-
qC
( ) Check if additional attachments.
QA Review:
Semple valid? YES ( ) NO
If N explain: '
QAC to
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