2010-12-13_HYDROLOGY - M1977300 ‎(2)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 12/13/2010
• Doc Name: October 2010 Surface Water Monitoring Data- Part 2
• From: Cotter
• To: CDPHE-WQCD
• Permit Index Doc Type: Hydrology Report
• Email Name: DB2
• Media Type: D
• Archive: No

COTTER CORPORATION SAMPLE SUBMITTAL A DN TRACKING FORM
Sample Submittal .'_ S 2 S 4 2 3
C: P.O. Box 1750 S: P.O. Box 1750 N: P.O. Box 700
Cafion City, CO 81215Caiion City, CO 81215 Nucla, CO 81424
Sample Loc./ID No. Cr S Lab. No.(s)
Sample Date /O ?2 -?y/UTime l d Date Data Entered
Collected By Data Entry By
Field Custodian Laboratory Destination if not Cotter:
Delivered
Received 1
Date Recd
Time Recd
1. Sample Type: Air Water Soil Other (specify):
2. Analysis - Test series requested: (,?, '14
3. Field Data - Preservation: / J :7 0
4. Date analysis required by (if not Holding Time): .
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS - Explanation of noted items:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO( ) If NO, explain:
QAC
Date
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