HYDRO21483

• Permit No: C1981035
• IBM Index Class Name: Hydrology
• Doc Date: 10/22/2001
• Doc Name: 3rd Quarter 2001 Field Well Water Analysis
• From: CDS environmental services
• To: national king coal
• Permit Index Doc Type: OTHER GROUND WATER
• Media Type: D
• Archive: No

ca~~~ o,.., n
Acculabs Inc.
[ [ 1046 Olive Drive Davis CA 95616 530-757-0920 Faz 7536091 Lab Number p
~ - ~~ f ~ d 3 7 7 0 ~ '- G
f J 76 Sultle Sl. Durango CO 81301 970-247220 Fa.x 247-4?27
[ ) 4663 Table Mountain Dr. Golden CO BOa03 303-277-9514 Faz 2%755 7 Report
Due Date:
[ i 992 Spice Islanos Dr. Sparks NV 89431 775-355.0202 Fax 3o5-06t 7
Clien: ~,, - _ ~ ~ ~ ~ Fax Results Y N Paye of
HCdress ~7,., lr~ rrra/~ ~'•I PUBLIC WATER SUPPLY INFORMATION
City, State R Zip G ~; ° I j ~,)~ System Name
Contact _r , -- (S PN'S No. Report to Sta;e/EPA Y N
Phone ~ - r-f - G) 7 Collectors Name ~jr+( W I _ PGE No DN'R tdo
Faz Protect Name ~~ Collection Point
P C. Number Project Number City County
ri SAMBLE.TYPE COpES~,.. '" ~%~ji:

DW = tlrink~ng water T8 =travel blank Compliance
WW =waste water SD =solid Monitoring
MW = monitonny well 50 =soil Y N
HW =hazardous waste SL = sludye
~'"°TURNAROUND'~TI_C-~~~QUESTED -
Standard Lab Manager
RUSH Approval
Special
CLIE~1,-fpS•SAMP _ D ra~Ae ' '
a C``
o
~
t~1

e

s Analyses

Requeste

/

pl. No.
I 2 ~~ ~

InstructionslCommentsl5pecial Requirements:

SAMPLE RECEIPT Date Time Samples Relinquished By Samples Received By
Received Cold Y N - ~. 1' d~S ~ %~ _~- -
Custody Seals Y N j
Seals Intar.t Y N
No. of Containers
Acculabs, Ine.'s Standard Terms and Conditions apply unless written agreements specify otherwise. Payment terms are Net 30
To ;rte mr. m•:r.~ eztenl perm~;;ad by law, the Client aUraeS to IinLt the liability of ~:culaos Irr i ~- ;rte Client's tlamages to the u,t•: c _..:-nsanon
i-~~ .~ .,. ~~;~s Olner arrany~r~erls are maoa In venting. This limitation snail epph: recarGess of [he cause o' a~b~n or Ir;al ;`.,ory yFC o- assenec