2009-09-08_INSPECTION - M1994117

• Permit No: M1994117
• IBM Index Class Name: INSPECTION
• Doc Date: 9/8/2009
• Doc Name: Tailing Samples Analytical Results
• From: EPA
• To: DRMS
• Inspection Date: 6/12/2009
• Email Name: ACS
• Media Type: D
• Archive: No

8907007
Report To: Underground Injection Program
8P-W-GW
Denver, CO 80202
Client Contact:
303) 312-6276
none
Mail Instructions:
Report Instructions:
Date Due: 08/07/2009
TAT: 31
FAX
? EMAIL
EJEDF
Invoice To: Underground Injection Program
8P-W-GW
Denver, CO 80202
Invoice Contact:
303) 312-6276
Date/Initials:
Date/Initials:
Date/Initials:
Proofing
Report Date/Initials:
Sub Report Date/Initials:
Invoice Date/Initials:
Format Correct? Test Name vs. C.O.C. & Benchsheet
Report to: vs. C.O.C. Hold times
Attention: vs. C.O.C. Method vs. Benchsheet
Phone: vs. C.O.C. Units vs. Benchsheet
Project Name & Number, PO Number Reporting Limit vs. Benchsheet
Sample ID: vs. C.O.C. Date Analyzed
Sample Type: vs. C.O.C. Results vs. Benchsheet
Date/Time Sampled vs. C.O.C. Qualifiers
Date/Time Received vs. C.O.C.
8907007 FINAL 09 04 09 1617 Page I of 1 Print Date : 04-Sep-2009