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

Sample Loc. /ID No.
Delivered By
Received By
Date Recd.
Time Recd.
1.
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal i S 26756
C: P.O. Box 1750 S:
Canon City, CO 81215
3. Field Data — Preservation:
541,13 O5
Sample Date 1 "/ - / 9 )0// Time / y 2 S
Collected By p r e f
Field Custodian 2 o le...A, 6-1, t
Sample Type: Air Water / C Soil
2. Analysis — Test series requested: i /
s I /• G � « ra1 S "
6. Invalidating circumstances? If YES initial (
{ ) 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
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
2 37 3 Se, (..� P G, f7 v
(,‘J y. So
Other (specify):
erg •
7F? n.! Z 6 L! !`1
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 35 of 38
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Sample Loc. /ID No.
Delivered By
Received By
Date Recd.
Time Recd.
1.
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal i S 26756
C: P.O. Box 1750 S:
Canon City, CO 81215
3. Field Data — Preservation:
541,13 O5
Sample Date 1 "/ - / 9 )0// Time / y 2 S
Collected By p r e f
Field Custodian 2 o le...A, 6-1, t
Sample Type: Air Water / C Soil
2. Analysis — Test series requested: i /
s I /• G � « ra1 S "
6. Invalidating circumstances? If YES initial (
{ ) 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
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
2 37 3 Se, (..� P G, f7 v
(,‘J y. So
Other (specify):
erg •
7F? n.! Z 6 L! !`1
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 35 of 38