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2010-09-30_HYDROLOGY - M1977300
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2010-09-30_HYDROLOGY - M1977300
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Entry Properties
Last modified
8/24/2016 4:23:59 PM
Creation date
10/1/2010 1:09:21 PM
Metadata
Fields
Template:
DRMS Permit Index
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
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Chain of Custody and Analytical Request Record <br />Me "r. PLEASE PRINT; provide as much information as possible. Refer to corresponding notes on reverse side. Page 1 of 1 <br />cc <br />CD <br />0 <br />co <br />Company Name: Cotter Corporation Project Name: Schwartzwalder Water Monitoring Program - Discharge <br />Tracking No. _3692013_00179568 DATE: _8/24/10 SSTF: S25176 <br />Report Mail Address: Sampler Name if other than Contact: <br />Cotter Corporation - Canon City Mill Contact Name: Kristy Usnick <br />PO Box 1750; Canon City, CO 81215-1750 Voice: 1-719-275-7413 ext. 213 Bob Tennant <br />Invoice Address: Invoice Contact: Kristy Usnick Purchase Order#: ELI <br />Quote #: <br />PO Box 1750 Tel: 1-719-275-7413 ext. 213 . <br />Canon City, CO 81215-1750 Fax: 1-719-275-1669 <br /> Notify ELI prior to <br /> <br />Report Required For: POTWMIWTP ? <br />RUSH sample Recpj emp <br />d <br />Other <br />Special Report Formats - ELI must be notified e <br />.. <br />o <br />'' <br /> <br />g F <br />a submittal for <br /> <br />i= additional charges C <br />C I r ID( ) <br />prior to sample submittal for the following: gym 2 and scheduling <br />NELAC [3 A2LA ? Level IV ? j.5 <br />? <br />a <br />? <br />Comments: Custody Seal <br />Other <br /> <br />EDDIEDT El Format 3 <br /> <br />E <br />r <br /> <br />a t: > <br /> <br />E <br /> <br />E <br /> <br />S&A Schedule Code : Y/ <br /> <br />Intact <br /> Z s ors CODES Y Y/ N <br />SAMPLE i d € = Signature <br />IDENTIFICATION Collection Collection 05 + z° Frequency: _l./u.lt/y Y / N <br />(Name, Location, Date Time 3 N m Match LAB ID <br />Interval, etc MATRIX 12 ? 12 <br />I- <br />Y ! N <br />' DIS-001A Water ? ® ® ? ? ? ? ? ? ? ? ® 15 day turn around <br />2 ? ? ? ? ? ? ? ? ? ? ? ? <br />3 ? ? ? ? ? ? ? ? ? ? ? ? <br /> ? ? ? ? ? ? ? ? ? ? ? ? <br />6 ? ? ? ? ? ? ? ? ? ? ? ? <br />6 ? ? ? ? ? ? ? ? ? ? ? ? <br /> ? ? ? ? ? ? ? ? ? ? ? ? <br />6 ? ? ? ? ? ? ? ? ? ? ? ? <br />s ? ? ? ? ? ? ? ? ? ? ? ? <br />10 ? ? ? ? ? ? ? ? ? ? ? ? <br />Custody Relinquished by: Bob Tennant Date/Time: 17:00 Shipped by: Received by: Date/Time: <br />Record <br />MUST be Relinquished by: ate/Time: 17'00 Shipped by: Received by ime: - <br />Signed Sample Disposal: Return to Client ? Lab Disposal <br />® LABORATORY USE ONLY <br /> Sample Type # of fractions
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