2011-05-11_HYDROLOGY - M1977300 ‎(3)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 5/11/2011
• Doc Name: 1st Qtr. 2011 GW Data- Pt.2
• 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 Snhtnittal S:
C: P.O. Box 1750 S: P.O. Box 1750 N: P.O. Box 700
Canon City, CO 81215 Cafion City, CO 81215 Nucla, CO 81424
Sample Loc./ID No. G.t .•--r, ! Lab. No.(s)
Sample Date • b!f Time
Collected By Field Custodian 43, 'k°?.-* .+• ,.? y'
Delivered By
Received By
Date Recd.
Time Recd.
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2.
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter: ?r
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Sample Type: Air Water :Soil. Other (specify):
Analysis Test series requested:
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Data -Preservation:
Field + • Air
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4. ... Date analysis required by.-(if not Holding Time):
5. `:}ag conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS - Explanation of noted items: