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2011-05-18_HYDROLOGY - M1977300
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2011-05-18_HYDROLOGY - M1977300
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Entry Properties
Last modified
8/24/2016 4:33:37 PM
Creation date
7/29/2011 7:44:52 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977300
IBM Index Class Name
HYDROLOGY
Doc Date
5/18/2011
Doc Name
May 2011 SW Quality Data- SW 5/2/11 S25763-S25770.
From
ENERGY Labs and Cotter Corp.
To
DRMS
Permit Index Doc Type
Hydrology Report
Email Name
DB2
Media Type
D
Archive
No
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Company Name: Cotter Corporation <br />Tracking No. 3692013 61578331 <br />Project Name: Schwartz - <br />DATE: 5 /2/11 SSTF: S25763-- S25770 <br />Report Mail Address: <br />Cotter Corporation - Canon City Mill <br />PO Box 1750; Canon City, CO 8' <br />Contact Name: Randy Whicker <br />1 -719 -275 -7413 ext. 210 <br />Sampler Name if other than Contact: <br />1- 303 -642 -3893 mine phone <br />Bob Tennant 1- 719 - 371 - 3009 -cell <br />Invoice Address: <br />PO Box 1750 <br />Canon City, CO 81215 -1750 <br />Invoice Contact: JoAnne Ary <br />75 -7413 ext. 209 <br />Fax: 275 - 1669 <br />Purchase Order #: <br />ELI Quote #: <br />Normal Tumaround (TAT) <br />Notify ELI prior to <br />RUSH sample <br />submittal for <br />F additional charges <br />t and scheduling <br />Recei t e p <br />, C <br />Report Required For: Pc <br />Other <br />U - dissolved only - CODE #1 <br />U - total & dissolved - CODE #3 <br />Ra-226 total & dissolved CODE#3 <br />SEE ATTACHED TABLE 1 <br />Ier1D(s <br />Special Report <br />prior to sample <br />NELAC • <br />Other <br />EDD /EDT • <br />Formats - ELI must <br />submittal for the f <br />A2LA • Level IV <br />Format <br />Number of Contain <br />Sample Type: <br />- AWSVBO <br />A) Air, Water Soils/Solids, Vege <br />X Bioassay Aber <br />Custody Seal <br />Y / N <br />Intac <br />N <br />Signatu <br />NI' N <br />Match ID <br />Y / N <br />RUSH Tumaround <br />Comments: <br />S&A Schedule Code : <br />SW CODE I 1 <br />Table 1 <br />Frequency 1, <br />Two coolers <br />SAMPLE <br />IDENTIFICATION <br />(Name, Location, <br />Interval, etc) <br />Collection <br />Date <br />Collection <br />Time <br />1 SW AWD <br />5/2/11 <br />8:30 <br />Water <br />® <br />• <br />❑ <br />❑ <br />❑ <br />■ <br />■ <br />❑ <br />• <br />❑ <br />0 <br />■ <br />Code 1 <br />2 SW AO01 <br />5/2/11 <br />8:40 <br />Water <br />® <br />• <br />• <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />■ <br />❑ <br />-' <br />❑ <br />Code 1 <br />3 SW BDIS <br />5/2/11 <br />8:45 <br />Water <br />® <br />• <br />❑ <br />❑ <br />❑ <br />• <br />■ <br />❑ <br />■ <br />■ <br />® <br />• <br />Code 1 <br />4 SW PL <br />5/2/11 <br />8:50 <br />Water <br />® <br />• <br />❑ <br />❑ <br />❑ <br />• <br />❑ <br />❑ <br />• <br />❑ <br />0 <br />• <br />Code 1 <br />5 SW OS <br />5/2/11 <br />10:10 <br />Water <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />• <br />• <br />• <br />• <br />• <br />14 <br />• <br />Code 1 <br />a SW BOS <br />5/2/11 <br />10:15 <br />Water <br />® <br />• <br />❑ <br />• <br />❑ <br />❑ <br />• <br />❑ <br />❑ <br />• <br />❑ <br />Code 1 <br />SW GS <br />5/2/11 <br />10:20 <br />Water <br />® <br />• <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />• <br />® <br />❑ <br />Code 1 <br />( /C O <br />a SW BPL - <br />5/2/11 <br />10:25 <br />Water <br />® <br />• <br />❑ <br />❑ <br />• <br />• <br />• <br />❑ <br />• <br />❑ <br />t: <br />• <br />Code 1 <br />9 <br />• <br />❑ <br />❑ <br />• <br />• <br />• <br />❑ <br />❑ <br />❑ <br />• <br />• <br />• <br />10 <br />• <br />❑ <br />❑ <br />❑ <br />❑ <br />• <br />❑ <br />• <br />• <br />• <br />• <br />❑ <br />Custody <br />Record <br />MUST be <br />Signed <br />Relinquished by: Bob Tennant Date/Time:5/2 /11 13:30 <br />Shipped by: <br />Shipped by: fy.i' - p � <br />l-■405�C <br />Received by: l Date/Time: 5• - 3 - /( pS <br />Relinquished by: Date/Time: <br />Received by: Date/Time: <br />Sample Disposal: Return to Client ❑ Lab Disposal ►: <br />LABORATORY USE ONLY <br />Sample Type # of fractions <br />iiff/M Chain of Custody and Analytical Request Record <br />PLEASE PRINT; provide as much information as possible. Refer to corresponding notes on reverse side. Page 1 of 1 <br />LABORATOR /ES <br />
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