2011-05-23_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 5/23/2011
• Doc Name: SW Data- April, 2011, SW 4/19/11 S25751-S25758
• 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
Canon City, CO 81215
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal ::2 S 2 5 75 3
Sample Loc. /ID No. g 4.1 $ D JAS' Lab. No.(s)
Sample Date £/ 19)D11 Time /2'S
Collected By ✓S:,
Field Custodian ! "fr.
Delivered By
Received By
Date Recd.
Time Recd.
Jd - 0,902
S: P.O. Box 1750 N: P.O. Box 700
Canon City, CO 81215 Nucla, CO 81424
� `N c 1 ,,
1. Sample Type: Air Water / Soil Other (specify):
2. Analysis — Test series requested:
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
Fi j/ 4 r> r,, �N C _
? 3 ? $ Sc... /f C' , te 2, h y .
3. Field Data — Preservation: 6. 7 //Root ” : ti 1 25
o
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS — Explanation of noted items:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
QAC
Date
Page 32 of 38
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C: P.O. Box 1750
Canon City, CO 81215
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal ::2 S 2 5 75 3
Sample Loc. /ID No. g 4.1 $ D JAS' Lab. No.(s)
Sample Date £/ 19)D11 Time /2'S
Collected By ✓S:,
Field Custodian ! "fr.
Delivered By
Received By
Date Recd.
Time Recd.
Jd - 0,902
S: P.O. Box 1750 N: P.O. Box 700
Canon City, CO 81215 Nucla, CO 81424
� `N c 1 ,,
1. Sample Type: Air Water / Soil Other (specify):
2. Analysis — Test series requested:
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
Fi j/ 4 r> r,, �N C _
? 3 ? $ Sc... /f C' , te 2, h y .
3. Field Data — Preservation: 6. 7 //Root ” : ti 1 25
o
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS — Explanation of noted items:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
QAC
Date
Page 32 of 38