HYDRO24096

• Permit No: C1980007
• IBM Index Class Name: Hydrology
• Doc Date: 11/1/2004
• Doc Name: Biomonitoring Report Dated September 1, 2004
• From: SeaCrest Group
• To: Mountain Coal Company
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

The SeaCrest Group
Sample Receipt Form Form #: 4:
Lovisvale' CO Effective: November 2005
Project #: ~~ L `~ ZG' ~ Sample #:
Date: ~ l0 ~ L Initials:
Samples Were: - ~.::..--:--,
1. Shipped Hand Delivered essengered (circle one)
Notes:
2. Airbill Present Y ~ NA
Notes:
3. Chilled to Ship Ambient hilted (circle one)
Notes:
Ice Blue I (circle one)
4. Cooler Received Broken or Leaking Y ~ NA
Notes:
5 Sample Received Broken or,Leaking „~ ,,. ,, :;, _ y ;,1 sr ,~~__i
Notes: `.
6. Received Within Holding Times Y N
Notes:
7. Aeration necessary Y ~N NA
Notes:
8. Sample Received at Temperature between 0-6° C . Y t N 1 NA
Notes: ~.J
9. Description of Sample (Color, Odor, and/or\ Presence of Particulate Matter):
', _ _ RE
DO T~m~ pH CI ~ Time DO
ra{-` ~
• m:_
_ ¢:
COC Tape Was:
1. Present on Outer Package
2. Unbroken on Outer Package
3. Present on Sample
4. Unbroken on Sample
COC Record Was:
1. Present Upon Receipt of Sample ~ N