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2008-10-22_REPORT - C1981008 (3)
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2008-10-22_REPORT - C1981008 (3)
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Last modified
8/24/2016 3:37:21 PM
Creation date
10/22/2008 3:04:19 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981008
IBM Index Class Name
REPORT
Doc Date
10/22/2008
Doc Name
2008 AHR Appendix C Part 3
From
Western Fuels-Colorado
To
DRMS
Annual Report Year
2008
Permit Index Doc Type
Hydrology Report
Email Name
MLT
Media Type
D
Archive
No
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CHAIN OF CUSTODY RECORD • <br />SGS North America inc. <br />O 1501-A East Patapsco Avenue Baltimore, MD 21226 Tel: (410) 355-1958 Fax: (410) 355-1965 <br />O P.O. Box 850 Sophia, WV 25921 Tel: (304) 255-0422 Fax: (304) 255-0417 <br />O 216 Oxmoor Circle Birmingham, AL 35209 Tel: (205) 942-3120 Fax: (205) 942-0914 <br />O 5793 MacCorkle Avenue SE Charleston, WV 25304 Tel: (304) 925-6631 Fax: (304) 925-8877 <br />n <br /> <br />O 2979 East Center Street Conneaut, OH 44030 Tel: (440) 224-2261 Fax: (440) 224-2808 <br />O 1101 Howard Drive Deer Park, TX 77536 Tel: (281) 930-1919 Fax: (281) 479-4969 <br />O 4665 Paris Street, Suite B-200 Denver, CO 80239 Tel: (303) 373.4772 Fax: (303) 373.4791 <br />O 2804 Hackathorne Lane Gillette, WY 82716 Tel: (307) G82-7917 Fax: (307) 682-7951 <br />O Route 2, Box 162A Middlesboro, KY 40965 Tel: (606) 248-4205 Fax: (606) 240.0044 <br />O 15550 N. Lombard - Terminal 5 Portland, OR 97203 Tel: (503) 285-5905 Fax: (503) 285-5086 <br />O 16130 Van Orunan Rnnd u..u.._-. n <br />.? <br />CLIENT ------- ---..•.•_..-....., .?..wr.a <br />SGS Reference: ,c?. ?rvoj oa r-cnuu rax:(Ntl)333-30G0 <br />CONTACT: i <br />0 PHONE NO:( '764 <br />4'? zs a - Q<O ` ?'1 <br />lJ PAGE?_OF? <br /> <br />PROJECT. SITE/PWSID# : <br />N o <br />SAMPLE PresavaUves <br />Used y, <br />[``'!V <br />REPORTS TO: Z7`? Tit <br />tS <br />N?P?O?r ?IL 424 <br />J ?vsrD Q( FAX NO.:(R?1 QG 2 bB C <br />O <br /> <br />T <br />C_ <br />COMP Analysis <br />Required / <br /> <br />3 <br />O <br />INVOICE TO: MWflues <br />Jkk <br />,Lr <br />QUOTE #: <br />Lj? 2 70 V. ? r P.O, NUMBER: A <br />( <br /> <br />N <br />E GRAB V C <br /> <br /> <br />? <br />y <br /> <br /> <br />LAB NO. <br /> <br />SAMPLE IDENTIFICATION <br /> <br />DATE <br /> <br />TIME <br /> <br />MATRIX <br />R <br />S ? <br />r <br />rV <br />REMARKS <br /> ©? d OS ! o SO 5 ? <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />5 <br /> <br />' 4 <br />Collected/R <br />sh By:(') <br />r • <br />A Date <br />1 A <br />V <br />t? Time <br />O <br />t <br />(2 Received By: Shipping Carden <br />9 <br />Shipping Ticket No: Samples Received Cold? (Circle) YES )NO <br />?. <br />Temperature C: <br />Relinquished By: (2) Date Time Received By: Special Deliverable Requirements: C? 7-fC ody Seal: (Circle) <br />INTABROKEN ABSENT <br />Relinquished By: (3) Date Time Received By: Requested Turnaround Time and pe-qjal-Irfi tructions: <br />Relinquished By: (4) Date Tim Rec 'ved By:
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