2010-12-03_HYDROLOGY - M1977300 ‎(2)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 12/3/2010
• Doc Name: October 2010 Discharge Monitoring Report
• From: Cotter
• To: CDPHE-WQCD
• Permit Index Doc Type: Hydrology Report
• Email Name: DB2
• Media Type: D
• Archive: No

COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal i','2 S25241
C: P.O. Box 1750 S: P.O. Box 1750 N: P.O. Box 700
Cation City, CO 81215 Cation City, CO 81215 Nucla, CO 81424
Sample Loc./ID No. 0, s 0(91A Lab. No.(s)
Sample Date /- S 1 d Time ? o f f f
Collected By J??"--ti??*?:zY
Field Custodian /,3
Delivered By
Received y
Date Rec .
Time Recd.
1.
2.
3.
4.
5.
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Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
I0 *
Sample Type: Air Water Soil Other (specify):
Analysis - Test series requested: Cc /42 4( If 1 °-fc ti it I ?
Date analysis required by (if not Holding Time): _
Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS - Explanation of noted items: S4a1 02 C'/ / q Ord * • ?
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO
) If NO, explain:
QAC
Date
Page 8 of 8
tion:
Field Data - Preserva /V y „? ?? ra