2015-04-02_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 4/2/2015
• Doc Name: Water Quality Data And Mine Level Measurments for January 2015
• From: Cotter Corporation
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

COTTER'CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal s'.. S •: 7')
P.O. Box 1750 S: P.O. Box 1750 N: P.O. Box 700
Callon City, CO 81215 Caiion City, CO 81215 Nucla, CO 81424
Sample LocJID No. I'y` ' a 0
Sample Date / '` ` `� Time
Cf ected By 4
Field Custodian 14 ,
Delivered By
Received By
Date Recd.
Time Recd.
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
�`..- �. � .i .� a ... � - � •. �, _
� f
1. Sample Type: Air Water_ Soil Other (specify):
2. Analysis — Test series requested:
3. Field Data — Preserva 'on: *e !
P T t..f 5 ' .t !- ^�'I r�/i✓/(%
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 f
. f
) If NO, explain:
QAC Date
vu -aiu: Aresu"Hun
�%IUMCr
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
�`..- �. � .i .� a ... � - � •. �, _
� f
1. Sample Type: Air Water_ Soil Other (specify):
2. Analysis — Test series requested:
3. Field Data — Preserva 'on: *e !
P T t..f 5 ' .t !- ^�'I r�/i✓/(%
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 f
. f
) If NO, explain:
QAC Date