2014-07-18_HYDROLOGY - C1981035 ‎(4)‎

• Permit No: C1981035
• IBM Index Class Name: Hydrology
• Doc Date: 7/18/2014
• Doc Name: 2nd Quarter 2014 Field Well Water Analysis ‎(King I & King II)‎
• From: GCC Energy, LLC
• To: DRMS
• Permit Index Doc Type: Other Ground Water
• Email Name: MLT
• Media Type: D
• Archive: No

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Client: Fn T NOTES:
Contact: l r 1) Ensure proper container packaging. Table 1. — Matrix Type
Address: �.SL C �, 1 df, 2) Ship samples promptlN following collection. I = Surface Water, 2 = Ground Water
rub U 3) Designate Sample Reject Disposition. 3 = Soil /Sediment, 4 = Prod.W., 5 = Oil
d •- � 12 ? - 6 = Waste, 7 = Other (Specify)
) Phone Number: p y A X� PO#
Email: O '%�/
36 Project Name: Samplers Signature:
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FOR OAt, USE ONLY
GAL JOB #
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Lab Name: Green Analytical Laboratories (970) 247 -4220 FAX (9 0) 247T-227
Analyses Required
Address: 75 Suttle Street, Durango, CO 81303 www.greenanalytical.coni
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