HYDRO27897

• Permit No: M2002004
• IBM Index Class Name: Hydrology
• Doc Date: 1/22/2004
• Doc Name: Transmittal of Groundwater Analytical Results
• From: Brown and Caldwell
• To: DMG
• Media Type: D
• Archive: No

Laboratories, Inc. ~,~~$.~o~ ~ '
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Steamboat Springs, CO 80487 [phone]
2773 Downhill Onv
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Name: •0. I~C.7 r9
Address: ~rq~~ l.m~ cc11~~
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Com any: ~ I
E-mail: M (. ~,~vln Telephone: - fl ' a 3 `~-rj
Name: (n 1Q V~ S E-mail: ~/ . ~v1
Com any: ar.P~ L Telephone: ~q- S 0O
Name: f~" NC. P.2.- Address:
Company:
E-mail: ~ Telephone:
H sample(s) received past holding time (HT), or if insufficient HT remains to complete YES
analysis before expiration, shall ACZ proceed with requested short HT analyses9 NO
Ii "NO" then ACZ will contact client for further instruction. If neither "YES" nor "NO"
Is Indicated, ACZ will proceed with the requested analyses, even if HT is expired, and data will 6e qualHied.
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Quote #: ~

Shipping Co.: (S •A `J
Tracking #: v
Reporting State for compliance testing: p L.
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Metruc SW (SUdace Water) ~ GW (Ground Water) • W W (Waste Water) • DW (Drinking Water) ~ SL (Sludge) ~ 50 (Soil) ~ OL (OII) ~ Other (Specify)
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FRMOA021.08.03.05
White - Retum with sample. Yellow -Retain for your records.
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