2008-10-24_HYDROLOGY - C1981008

• Permit No: C1981008
• IBM Index Class Name: HYDROLOGY
• Doc Date: 10/24/2008
• Doc Name: Wet Test Discharge for Outfalls 007 and 011
• From: Western Fuels-Colorado
• To: WQCD
• Permit Index Doc Type: NPDES
• Email Name: MLT
• Media Type: D
• Archive: No

CHAIN OF CUSTODY RECORD ? 2979 East Center Street Conneaut, OH 44030 Tel: [phone] Fax: [phone]
SGS North America Inc. ? 1101 Howard Drive Deer Park, TX 77536 Tel: [phone] Fax: [phone]
? 4665 Paris Street, Suite B-200 Denver, CO 80239 Tel: [phone] Fax: [phone]
? 1501-A East Patapsco Avenue Baltimore, MD 21226 Tel: [phone] Fax: [phone] ? 2804 Hackathorne Lane Gillette, WY 82716 Tel: [phone] Fax: [phone]
? P.O. Box 850 Sophia, WV 25921 Tel: [phone] Fax: [phone] ? Route 2, Box 162A Middlesboro, KY 40965 . Tel: [phone] Fax: [phone]
? 216 Oxrrioor Circle Birmingham, AL 35209 Tel: [phone] Fax: [phone] ? 15550 N. Lombard - Terminal 5 Portland, OR 97203 Tel: [phone] Fax: [phone]
? 5793 MacCorkle Avenue SE Charleston, WV 25304 Tel: [phone] Fax: [phone] ? 16130 Van Drunen Road South Holland, IL 60473 Tel: [phone] Fax: [phone]
11

CLIENT:
077 SGS Reference:
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CONTACT:
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PHONE NO:(Cry? 76
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PROJECT: SITE/PWSID# :

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Required
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LAB NO.
SAMPLE IDENTIFICATION
DATE
TIME
MATRIX R
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REMARKS
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sh By:(1) Date Time Received By: Shipping Carrier;
Shipping Ticket No: Samples Received Cold? (Circ ?YES)NO
Temperature°C:
2)
E Date Time Received By: Special Deliverable Requirements:
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I : not C Cody Seal: (Circle)

INTACT ;rte BROKEN ABSENT

3)
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Date
Time
Received By:
Requested Turnaround Time and
py1jal-I69tructions:
4) Date Time Rec Q
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