2015-06-17_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 6/17/2015
• Doc Name: Water Quality Data and Mine Level Measurements for March 2015
• From: Cotter Corporation
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal ¢ �w
C: P.O. Box 1750 S: P.O. Box 1750
N: P.O. Box 700
Ca$on City, CO 81215
Cahou City, CO 81215 Nucla, CO 81424
-31
Sample Loc./ID No. .� •► Lab. No.(s)
Sample Date
Collected By _
Field Custodian
Time I` / � j .._
r- .
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
Delivered By ` r
Received By l /_
Date Recd.
Time Recd. oct
I. Sample Type: Air Water Soil Other (specify):
2. Analysis — Test series requested: c- 1{
3. Field Data — Preservation: t 4 / %. yG ' %• / ' ' t ��+
%1
4.
5.
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:
) and explain below.
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO( ) If NO, explain:
QAC
Date
Page 16 of 16