2011-05-19_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 5/19/2011
• Doc Name: 2nd Qtr. 2011 GW Monitoring Data- 4-20-11.
• From: Energy Labs
• To: Cotter and DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: DB2
• Media Type: D
• Archive: No

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COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal :12 S ISMS
C: P.O. Box 1750
Calton City, CO 81215
Sample Loc. /ID No. ie+'/a '
Sample Date V ".2 0 - 2-- )1 10 i S
Collected By 1. 7
Field Custodian 1 - `' TF' ^' " {
S: P.O. Box 1750 N: P.O. Box '700
Canon City, CO 81215 Nucla, CO 81424
' ' ..,, A •
f - - r '
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS — Explanation of noted items:
1. Sample Type: Air Water 4 Soil Other (specify):
2. Analysis — Test series requested: ' 4 (' -'-
/ * ' 4
3. Field Data — Preservation: I [:�. 7 ' 'v 7 2 a ^ i 67 * 'I "Sti 2J -.-
t //V e <::' r' •.r , j: /. 99 4• 1 r. T
• t s J f / i .' - 1 11.7 f .- r 4.10 4. /2^ ...,f
t< rA A-,, Nu-, 2 ti.�.. -,.. ' 2 L ce''- / r, A Ai d 3 2 ( :),
rz,, L f / / t,/,‘ A 17 5 i icjillININIF7
4. D fie analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
w
( ..) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
QAC Date r
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
Z.
r�1
PagP 23 of 23
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Delivered By
Received By
Date Recd.
Time Recd.
•
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal :12 S ISMS
C: P.O. Box 1750
Calton City, CO 81215
Sample Loc. /ID No. ie+'/a '
Sample Date V ".2 0 - 2-- )1 10 i S
Collected By 1. 7
Field Custodian 1 - `' TF' ^' " {
S: P.O. Box 1750 N: P.O. Box '700
Canon City, CO 81215 Nucla, CO 81424
' ' ..,, A •
f - - r '
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS — Explanation of noted items:
1. Sample Type: Air Water 4 Soil Other (specify):
2. Analysis — Test series requested: ' 4 (' -'-
/ * ' 4
3. Field Data — Preservation: I [:�. 7 ' 'v 7 2 a ^ i 67 * 'I "Sti 2J -.-
t //V e <::' r' •.r , j: /. 99 4• 1 r. T
• t s J f / i .' - 1 11.7 f .- r 4.10 4. /2^ ...,f
t< rA A-,, Nu-, 2 ti.�.. -,.. ' 2 L ce''- / r, A Ai d 3 2 ( :),
rz,, L f / / t,/,‘ A 17 5 i icjillININIF7
4. D fie analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
w
( ..) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
QAC Date r
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
Z.
r�1
PagP 23 of 23
.arC