2008-07-25_HYDROLOGY - C1981008

• Permit No: C1981008
• IBM Index Class Name: HYDROLOGY
• Doc Date: 7/25/2008
• Doc Name: June 2008 DRMS ‎(CO-0000213)‎
• From: Western Fuels-Colorado
• To: WQCD
• Permit Index Doc Type: DMR’s
• Email Name: MLT
• Media Type: D
• Archive: No

CHAIN OF CUSTODY RECORD
SGS North America Inc.
O 1501-A East Patapsco Avenue Baltimore, MD 21226 Tel: [phone] Fax: [phone]
O P.O. Box 850 Sophia, WV 25921 Tel: [phone] Fax: [phone]
0 216 Oxmoor Circle Birmingham, AL 35209 Tel: [phone] Fax: [phone]
0 5793 MacCorkle Avenue SE Charleston, WV 25304 Tel: [phone] Fax: [phone]
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O 2979 East Center Street Conneaut, OH 44030 Tel: [phone] Fax: [phone]
0 1101 Howard Drive Deer Park, TX 77536 Tel: [phone] Fax: [phone]
0 4665 Paris Street, Suite B-200 Denver, CO 80239 Tel: [phone] Fax: [phone]
O 2804 Hackathorne Lane Gillette, WY 82716 Tel: [phone] Fax: [phone]
O Route 2, Box 162A Middlesboro, KY 40965 Tel: [phone] Fax: [phone]
0 15550 N. Lombard - Terminal 5 Portland, OR 97203 Tel: [phone] Fax: [phone]
0 16130 Van Drunen Road South Holland, IL 60473 Tel: [phone] Fax: [phone]
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Collected/Relinquis y:(1)
Date
Time
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Shipping Carrier:
Shipping Ticket No:
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Temperature C:
Relinquished By: (2) Date Time Received By: Special Deliverable Requirements:. Chain of Custody Seal: (Circle)
INTACT BROKEN ABSENT
Relinquished By: (3) Date Time Received By: Requested Turnaround Time and Spe ' I Inst tons:
Relinquished By: (4) Date Time Receive y: