2010-09-30_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 9/30/2010
• Doc Name: August 2010 Discharge Monitoring Report
• From: Cotter
• To: CDPHE-WQCD and DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: DB2
• Media Type: D
• Archive: No

Chain of Custody and Analytical Request Record
PLEASE PRINT; provide as much information as possible. Refer to corresponding notes on reverse side. Page 2 of 2
Company Name: Cotter Corporation Project Name: Schwartzwalder
Tracking No, 3692013 00179476 Water Monitoring Program
REF #/ DATE: 8/6/2014
Report Mail Address: Contact Name: Kristy Usnick Sampler Name if other than Contact:
Canon City, Mill 1-719-275-7413 EX 213 Bob Tennant
PO Box 1750 81215-1750
Invoice Address: Invoice Contact & Phone Purchase Order* ELI Quote #:
Canon City Mill Kristy Usnick 2563
PO. Box 1750 81215-1750 1-719-275-7413 EX 213
Report Required For: POTWNVWTP ? DW Notify ELI prior to RUSH sample ece
Other r submittal for additional charges and ?
Special Report Formats - ELI must be notified prior to 2-
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Relinquished by: Bob Tennant
Date/Time: 816/10- 14:00
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