2008-04-18_HYDROLOGY - C1981008

• Permit No: C1981008
• IBM Index Class Name: HYDROLOGY
• Doc Date: 4/18/2008
• Doc Name: 1st Quarter 2008 DMRS
• From: Western Fuels Colorado
• To: WQCD
• Permit Index Doc Type: DMR’s
• Email Name: MLT
• Media Type: D
• Archive: No

~' CHAIOV ®~ CUSTODY itEC01tD
SAS North Arnereca tnc.
^ 1501-A East Patapsco Avenue Baltimore, MD 21226 Tel: (410) 355-i958 Fax: [phone]
O P.O. Box 850 Sophia, WV 25921 Tel: [phone] Fax: [phone]
^ 216 Oxmoor Circle Birmingham, Al 35209 Tel: [phone] Fax-: [phone]
' ^ 5793 MacCorkle Avenue SE Charleston, WV 25304 7e1: (304} 925-6631 Fax: (3D4) 925-8877
~ 2979 East Center Street Conneaut, OH 44030 Tel: {440) 224-2261 Fax: [phone]
^ 1101 Howard Drive Doer Park, l'X 7753b Tel: [phone] Fax: [phone]
O 4665 Paris Street, Suite &200 Denver, CO 80239 Tel: [phone] Faz: {303) 373.4791
O 2804 Hackathorne Lane Gillette, WY 82716 Tel: [phone] Faz: (307) 682.795t
~ Route 2, Box 162A Middlesboro, KY 44965 Tel; [phone] Fax: [phone]
O 15650 N. Lombard -Terminals Portland, OR 97203 Tel: {503) 285.5905 Fax: [phone]
^ 16130 Van Drunen Road South Molland, IL 60473 Tel: [phone] Fax: [phone]
1
CLIENT: U~Z..S
^
SGS Referenc/e: (j~
~ ~
~~~ r ~ (~~ ~

PAGE_~_OF~_
)
PHONE NO:(e
ONT
w-'
'
' ~( TM
l "
`
~ O
C
ACT:
? $ ~ zs~
Imo. ~ ~~a~
SITE/PWSID# No S~AEE used
:
PROJECT: C Matysis
REPORTS TO:
p~ -p
FAX NO.:(~ 7~) t~ ~ ~ (. O
N
T
coMP Requited
L
O 6Yt`
INVOICE TO: -~ \,>:~~Y ~~S OUOTE rt:
J P.O. NUMBER:
2 A
E GitAB

LAB NO.
SAMPLE IDENTIFICA710N
DATE
TIME
MATRIX R
$ N
REMARKS
~ ~ S ovS 3 i2.c~8 oq 37 sw 3 ~

g
•Collecte elinqui By:(1)
~
Date ~q
~-pa
Ti~mey~
~ ~L:GI' 4
Received By: Shipping Carrier:
Shipping Ticket No:
Samples Received Cofd? (Circle YES O
Temperature C:e
Relinquished By: (2) Date Time Received By: Special Deliverab-e Requirements: Chain of Custody Seal: (Circle)
INTACT BROKEN ABSENT
Relinquished By: (3) Date Time Received By: Requested Turnaround Time and Speci~l•~lwsttiictions:
Relinquished By: (4) D to Time Rec ' By:
$CiS CDC Fi@V 2/07 vvnne - rteuu„eu u~ wv