2011-05-18_HYDROLOGY - M1977300

• 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

Time Recd.
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal
C: P.O. Box 1750 S:
Cation City, CO 81215
Sample Loc. /ID No. _rte.
Sample Date S '2 -20/7 Time / O.2 O
Collected By . /,3e ,,,,ie,t...
Field Custodian /.� 4 Z �U e
Delivered By
Received By
Date Recd.
•
Ow
Sample Type: Air Water Soil
3. Field Data -
) P
'/.'S'
5x 9/
Preservation:
a!z
/06`
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO (
QAC
P.O. Box 1750 N: P.O. Box 700
Canon City, CO 81215 Nucla, CO 81424
6. Invalidating circumstances? If YES initial (
'^ S25769
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
‹.
7.3 pg .�S'�, /7` C p 9 e ���,.:
( _-.€ I �. It/7 g z C
Other (specify):
2. Analysis — Test series requested: , �_,�'.'
8 o. S V, r,d ;....�'
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
) and explain below.
COMMENTS — Explanation of noted items:
) If NO, explain:
Date
Page 19 of 20
C
IIC
Off'U11.0 LCMunaUUua
/ j
MI
r . _
• �C
Time Recd.
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal
C: P.O. Box 1750 S:
Cation City, CO 81215
Sample Loc. /ID No. _rte.
Sample Date S '2 -20/7 Time / O.2 O
Collected By . /,3e ,,,,ie,t...
Field Custodian /.� 4 Z �U e
Delivered By
Received By
Date Recd.
•
Ow
Sample Type: Air Water Soil
3. Field Data -
) P
'/.'S'
5x 9/
Preservation:
a!z
/06`
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO (
QAC
P.O. Box 1750 N: P.O. Box 700
Canon City, CO 81215 Nucla, CO 81424
6. Invalidating circumstances? If YES initial (
'^ S25769
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
‹.
7.3 pg .�S'�, /7` C p 9 e ���,.:
( _-.€ I �. It/7 g z C
Other (specify):
2. Analysis — Test series requested: , �_,�'.'
8 o. S V, r,d ;....�'
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
) and explain below.
COMMENTS — Explanation of noted items:
) If NO, explain:
Date
Page 19 of 20
C