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 SAMPLE SUBMITTAL AND TRACKING FORM
Sample' - Inittat ' �"
C: P.O. Box 1750 S: P.O. Box 1750 N: P.O. Box 700
Canon City, CO 81215 Canon City, CO 81215 Nucla, CO $1424
Sample LocJ1D No. 'f Lab. No.(s)
Sample Date Time
Collected By
Field Custodianr3 .:�
Delivered By
Received By
Date Recd.
Time Recd.
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V�1�.711C LCj
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-" SYrpele Type: Aisz Water
2. Analysis - Test'series requested:.1
3. Field Data - Preservation:
4.
4
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
r
Soil _
Date analysis required by (if not Holding Time): _
Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial
COMMENTS - Explanation of noted items:
Other (specify):
) and explain below.
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO( ) If NO, explain:
QAC Date
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