HYDRO24081

• Permit No: C1980007
• IBM Index Class Name: Hydrology
• Doc Date: 5/5/1999
• Doc Name: RESULTS OF AN ACUTE BIOMONITORING TEST PERFORMED FOR MOUNTAIN COAL CO
• Permit Index Doc Type: NPDES
• Media Type: D
• Archive: No

The SeaCrest Group Form No.: 036
Broomfield, Colorado Effective: May, 1997
' Sample Receipt From
Project Nu'mrber ~gL1Gq, (l ~ Sample Number ~_
Date '~+~ -o~- 1, l Initials ~ _
Sample re:
1.r H
T
and Delivered or Messengered (Circle One)
O ES. (Pease note name of shipper or messenger service)
2. Airbill Preset
NOTES:
3. Ambient or~(Circle One)
NOTES:
Ice o ue (Circle One) D.O.
Eff 7 •`~
Rec'g
4. Cooler Received Broken or Leaking
NOTES:
5. Sample Received Broken or Leaking (Improperly Sealed)
NOTES:
6. Sample Properly Preserved (4°C)
NOTES:
7. Received Within Holding Times
NOTES:
Y

Y ~iV J NA
Temp. °C pH CpH C~

~a. ~ ,
g. 1. VD
Y /N~ NA
NA
Y N
N
8. Description Of Sample (Color, Odor, and/or Presence of Particulate Matter)
EFF:
REC'G:
COC Tape Was:
1. Present On Outer Package Y
2. Unbroken On Outer Package Y N NA
3. Present On Sample Y
4. Unbroken On Sample Y N
COC Record Was:
Y
1. Present Upon Receipt Of Sample