HYDRO21305

• Permit No: C1980007
• IBM Index Class Name: Hydrology
• Doc Date: 8/1/2005
• Doc Name: Lab Reports
• From: The Sea Crest Group
• To: Mountain Coal Company, LLC
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

vo'awaee ve vrv . yr • a.rrw.er
SGS Plor~h ~-rnereca Inc 02978 East Center Sheet Conneaut OH 44030 Tel: [phone] Fax: [phone]
. ^ 1101 HowarU Drive Daer Park TX 77538 TeF [phone] Fax• (28t) 4794989
w, T.:
4665 Paris Street, Suite 8-200 Denver, CO 80239 Tel: (303) 373•772 Fex: (303) 373<791 `;I M'
^ 1501-A Eest Patapsco Avenue Baltimore, MD 21226 Tel: [phone] Fex: [phone] . ^ 2804 Heckathorne Lane Gillette, VVV 82718 Tal: [phone] Fax: [phone]'
O 216 Oxmoor Circle Birmingham, AL 35209 Tel: [phone] Fax: [phone] O 15550 N. Lombard -Terminal 5 Portland, OR 97203 Tel: [phone] Fax: [phone] '~
^ P.O. Bax 32 Charierol, PA 15022 Tel: [phone] Fax: [phone] ^ 18130 Van Drunen Road South Holland, IL 6047) Tel: [phone]D Fax: [phone]
r CLIENT: / 10 6(~( ~~ (,~ ~ G ~ lJ SGS Reference: /
/
~J p
CONTACT: j) E n ~. !)~1 ! 1,..~, PHONE NO:(97~/) 9~) - ~ -7 ~ G~
I PAGE
OF
I /
a 15 '
PROJECT: 1nl / 5.1 G'/ ( gN) r ~,,( ~sITE/PwSID#: ~O_ /')0~;7 •7 ~/
f- l ~ .N 0 ~ s EPEE ~~~
UsM
!/ p / L7
I M
l
l

REPORTS TO:
~l~n,~(' Q 9" 9~?9-ssy~
C'
N

COMP n
a
s
Regwred \/
O T.
INVOICE TO: QUOTE #:
/J 1
2 HP/~ /+ ~ ~n f /-~ (?. P.O. NUMBER: A

E r;Gggg
h
~ Q ~.
~
LAB NO. SAMPLE IDENTIFICATION DATE TIME MATRIX R
S 1
lJ ~ REMAR S

~ G f
l~ ~

,.~.
072 .14208-001
017 Eff East Sly Gulch
Mountain Coal Company
;
Due: 08/14/2006
~~~~~~ ~~I~ ~~~~~ ~~~~~ ~~~~~ ~~~~~ ~I~ I~~b6roirioDr
• ss44
"
s a
Collectetl/Relinquished By:(1)
////~i _
~u/ ~ ~Y~~~.~/L~ Date

~ ~ Oj Time

~ :~0 nL Received By: Shipping Carrier:
_
Shipping Ticket No: Samples Redeived Cold9 (Circ ) E ; NO

Temperature C: ~~
,
Relinquished By: (2) Da/e
~-~~ Time
~03b Received By:
~~ ~`L ~,~`t -. Special Deliverable Requirements: Chain of Custody Seal: (Circle)
INTACT BROKEN ABSENT
Relinquished By: (3) Date Time Received By: Requested Turnaround Time and Special Instructions:
Y~~
Relinquished By: (4) Date Time Received By: ~~~(`
,a~~ l.lIl. nev amv While-RalalneE by Leb Vellow-Returned with Reoon Plnk-Retained by Semler