2014-12-24_REPORT - C1981008

• Permit No: C1981008
• IBM Index Class Name: Report
• Doc Date: 12/24/2014
• From: Tri-State Generation and Transmission Association Inc
• To: DRMS
• Annual Report Year: 2014
• Permit Index Doc Type: Hydrology Report
• Email Name: BFB
• Email Name: DIH
• Media Type: D
• Archive: No

toaersa6roup CHAIN OF CUSTODY [phone] - FAX [phone]
AM OMYIOONMONTAI •i RVICES COMPA111
Client /Project Name: \AjtSTi:RW T- Zx-s. CO LxR�op C_LL
Analysis (Check all applicable)
P.O. /Project Number: evil 16 of
U
=
U
�
3
m
W
3
a
E
3
m
u
W c
m
N
3 i
H
o
P
�R
o
m
N
a
u
Z
z
r—°
u
(D
•o
I
y
LL
o
o
U
v
°o
°o
00
3
o
J
N
a
L
p
u°
z
v
o
°-
Contact:
1�
Address: 2 X44 W S is IJ UU-f� Co t; 4Z
Phone # p $ (,4 ) D7
E -Mail: R I Tr ©RL&
Fax # 4)7o 96.4 Z (LB
Sampler: -^
Report By: ❑ Mail ❑ PDF ❑ FAX
Sample Location or ID
Date
Time
Grab /
comp
Lab ID
Ni O 1 1
4 .9.13
0145-
IE
Standard (10 days) 6 -9 Day
3 -5 Day 1 -2 Day
Requested Report Date:
Test Species: 01#95ead Minnow eriodaphnia ❑ Daphnia magna ❑ Daphnia pulex ❑ Other (list Below)
Special Instructions /Comments:
Signature Date /time
•
��
Signature
� sar lam..- -
Date/Time
Q5
Signature
DateMme
Signature
Date/rime