2014-11-26_HYDROLOGY - M1977300 ‎(2)‎

• 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 2.
• From: Cotter
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: TAK
• Media Type: D
• Archive: No

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COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal :.- s17679
C: P.O. Box 1750 S: P.O. Box 1750 N: P.O. Box 700
CaAon City, CO 81215 Canon City, CO 81215 Nucla, CO 81424
Sample LocJID No. = °=" Lab. No.(s)
Sample Date
Time j � 4" s
Collected By i 5 '� c,
Field Custodian
Delivered By
Received By
Date Recd.
Time Recd.
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1. Sample Type: Air
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
Water Soil
Other (specify):
2. Analysis - Test series requested:
3. Field Data - Preservation: e
Of or 7 7
4. Date analysis required by (if not Holding Time):
S. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS - Explanation of noted items:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:,"
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