2011-04-08_HYDROLOGY - M1977300 ‎(2)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 4/8/2011
• Doc Name: Mar. 2011 SW Data- Pt.1
• From: Cotter
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: DB2
• Media Type: D
• Archive: No

COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal , •l., S'2S:M
C: P.O. Box 1750 S: P.O. Box 1750
Cafion City, CO ^81215 Cafion City, CO 81215
Lab. No.(s)
42 9 5'
Sample LocJID No,
Sample Date .x'.10/1 Time 1 Ste. Date Data Entered
Collected By /65 t? r*. .v a s.' Data Entry By
Field Custodian ,, . k" .0s..... Laboratory Destination if not Cotter:
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C.
Delivered By
Received By
Date Recd.
Time Recd.
{.VLLOC VLL'4110 LrubLt Mc NULL
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1. Sample Type: Air Water
2. Analysis - Test series requested: C
Other (specify):
3. Field Data -Preservation:
,

4.
5.
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:
( t? ) Check if additional attachments.
QA Review:
Sample valid? YES { ) NO( ) If NO, explain:
QAC
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, or
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Soil
Date
N: P.O. Box 700
Nucla, CO 81424

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