2014-11-26_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 11/26/2014
• Doc Name: Water Quality Data and Mine Level Measurements for September 2014- Part 3.
• From: Cotter
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: TAK
• Media Type: D
• Archive: No

COTTER CORPORATION S4 PLE S BM TTAL AND TRACKING FORM
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C: P.O. Boa 1750 C$: P.O. Box 1750 N: P.O. Boa 700
Callon City, CO 81215 Callon City, CO 81215 Nucla, CO 81424
Sample LocJID No.
Sample Date 7 ---fie
Collected BY, r
Field Custodian
Delivered By
Received By
Date Recd.
Time Recd.
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d
1. Sample Type: Air Water
2. Analysis — Test series requested:
Lab. No.(s)t.�
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
`„ : i
Soil Other (specify):
r
3. Field Data — Preservation:
f --
4. --Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS — Explanation of noted items:
.
� 5
4 f
r
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( )� If NO, explain:
QAC
17"
Page 7 of 8
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f
d
1. Sample Type: Air Water
2. Analysis — Test series requested:
Lab. No.(s)t.�
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
`„ : i
Soil Other (specify):
r
3. Field Data — Preservation:
f --
4. --Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS — Explanation of noted items:
.
� 5
4 f
r
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( )� If NO, explain:
QAC
17"
Page 7 of 8