2011-05-18_HYDROLOGY - M1977300 ‎(2)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 5/18/2011
• Doc Name: SW Data- April 2011, SW 4/14/11 S25710-S25712
• From: ENERGY Labs
• To: Cotter & DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: DB2
• Media Type: D
• Archive: No

C: P.O. Box 1750
Cation City, CO 81215
Sample Loc./ID No. S &) r a
Date Recd.
Time Recd
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal i ! S25710
S: P.O. Box 1750 N: P.O. Box 700
Cation City, CO 81215 Nude, CO 81424
Lab. No.(s)
Sample Date '` /3 of lime 12.:10 Date Data Entered
Collected By /So
77
Date 4 t..,. f y Data Entry By
Field Custodian/3n rep
� ..,.J
.G...1 Laboratory Destination if not Cotter:
Cotter Ott S i t s 1)esti P.,,..P J l 4,6 0..c f or I g 1 ,s, c •
Delivered By 2 ? `? 5G l f e r'e a k //c... .'
Received B y / c r v,.. i � y g Z 6. 62
1. Sample Type: Air Water Jr Soil Other (specify):
2. Analysis -- Test series requested: 7 1 le
3. Field Data — Preservation: r y. k / g..3" en Al 39 0 Lr s s 64"
Y /A/f e rw.,/ 2.5 Le S GJf i. S ! Cs- /T/e/ Hive 2 OI
1 L LIZ 1/P,4 W ,4' 2 s 1 1 A: 1 L le FA 11 S o
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES:Initlal ( ) and explain below.
COMMENTS - Explanation of noted items:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) . NO ( ) If NO, explain:
QAC Date
Page 28 of 30
4.15.1■
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C: P.O. Box 1750
Cation City, CO 81215
Sample Loc./ID No. S &) r a
Date Recd.
Time Recd
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal i ! S25710
S: P.O. Box 1750 N: P.O. Box 700
Cation City, CO 81215 Nude, CO 81424
Lab. No.(s)
Sample Date '` /3 of lime 12.:10 Date Data Entered
Collected By /So
77
Date 4 t..,. f y Data Entry By
Field Custodian/3n rep
� ..,.J
.G...1 Laboratory Destination if not Cotter:
Cotter Ott S i t s 1)esti P.,,..P J l 4,6 0..c f or I g 1 ,s, c •
Delivered By 2 ? `? 5G l f e r'e a k //c... .'
Received B y / c r v,.. i � y g Z 6. 62
1. Sample Type: Air Water Jr Soil Other (specify):
2. Analysis -- Test series requested: 7 1 le
3. Field Data — Preservation: r y. k / g..3" en Al 39 0 Lr s s 64"
Y /A/f e rw.,/ 2.5 Le S GJf i. S ! Cs- /T/e/ Hive 2 OI
1 L LIZ 1/P,4 W ,4' 2 s 1 1 A: 1 L le FA 11 S o
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES:Initlal ( ) and explain below.
COMMENTS - Explanation of noted items:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) . NO ( ) If NO, explain:
QAC Date
Page 28 of 30