2015-09-15_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 9/15/2015
• Doc Name: Water Quality Data and Mine Level Measurements for June 2015
• From: Cotter
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

Seactest Group Analytical Receipt Form Form#: 42c
Louisville, Co ~ -� Effective: Dec 2011
Project M 3)5S� 9� l�. _ _- Sample M
Date: Initials:
Samples Were:
1. Shipped H rrffiDeliv ed Messengered (circle one)
Notes:
3. Chilled to Ship
Notes:
Ambient ill (circle one)
Wet ICeL j,e.l (circle one)
4. Cooler Received Broken or Leaking Y NA
Notes:
5. Sample Received Broken or Leaking Y NA
Notes:
6. Received Within Holding Times N
Notes:
8. Sample Received at Temperature between 0-4° C .)� N NA
Notes:
9. Description of Sample (Color, and/or Presence of Particulate Matter):
Sample:
Custody Seals:
1. Present on Outer Package Y
2. Unbroken on Outer Package Y N
3. Present on Sample Y /V
4. Unbroken on Sample Y `- 'NN
Custody Documentation:
1. Present Upon Receipt of Sample Y N
Notes: