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2011-09-12_HYDROLOGY - M1977300
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2011-09-12_HYDROLOGY - M1977300
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Entry Properties
Last modified
8/24/2016 4:43:05 PM
Creation date
10/19/2011 12:52:36 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977300
IBM Index Class Name
HYDROLOGY
Doc Date
9/12/2011
Doc Name
SWQ Monitoring Results- July 2011- Part 1
From
Cotter
To
CDPHE-WQCD and DRMS
Permit Index Doc Type
Hydrology Report
Email Name
DB2
Media Type
D
Archive
No
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Company Name: Cotter Corporation <br />Tracking No, 3692013 61578699 <br />Project Name: Schwartz - ' <br />DATE: 2/06/11 SSTF: 525852-- S25860 <br />Report Mail Address: <br />Cotter Corporation - Canon City Mill <br />PO Box 1750; Canon City, CO <br />Contact Name: Randy Whicker <br />1- 719 -275 -7413 ext. 210 <br />Sampler Name if other than Contact: <br />1- 303 -642 -3893 mine phone <br />Bob Tennant 1 -719- 371 - 3009 -cell <br />Invoice Address: <br />PO Box 1750 <br />Canon City, CO 81215 -1750 <br />Invoice Contact: JoAnne Ary <br />-275 -7413 ext. 209 <br />Fax: 9 275 - 1669 <br />Purchase Order #: <br />ELI Quote #: <br />Report Required For: f <br />Other <br />Number of Containes <br />Sample Type: <br />—4 AWSVBO <br />XI Air, Water Soils/Solids, vegetation, <br />X Bioassay Other <br />Normal Turnaround (TAT) <br />Notify ELI prior to <br />RUSH sample <br />submittal for <br />a additional charges <br />t and scheduling <br />Rec ' t T�m <br />o C <br />U - dissoNed only - CODE #1 1 <br />U - total & dissolved - CODE #3 <br />E#3aoo Pe'IOSSIP MIA 9,7 <br />SEE ATTACHED TABLE 1 <br />Ier ID(s <br />! r <br />Special Report <br />prior to sample <br />NELAC • <br />Other <br />EDD /EDT <br />Formats — ELI n <br />submittal for the <br />A2LA ❑ <br />❑ Format <br />Custody eal <br />Y / <br />Intact <br />Y / N <br />Signature <br />Y / N <br />Match LAB ID <br />Y/N <br />RUSH Tumaround <br />Comments: <br />S&A Schedule Code : <br />SW CODE I 1 <br />Table 1 <br />Frequency! 1, <br />Two c00 c lers <br />SAMPLE <br />IDENTIFICATION <br />(Na Location, <br />(Now <br />Interval, etc) <br />Collection <br />Date <br />Collection <br />Time <br />SW AWD <br />7/06/11 <br />9:55 <br />Water <br />❑ <br />• <br />❑ <br />0 <br />• <br />❑ <br />❑ <br />• <br />• <br />• <br />=4 <br />❑ <br />Table 1 <br />z SW A0O1 <br />7/06/11 <br />11:40 <br />Water <br />® <br />• <br />• <br />❑ <br />❑ <br />■ <br />■ <br />❑ <br />❑ <br />❑ <br />2 <br />❑ <br />Code 1 <br />SW BDIS <br />7/06/11 <br />11:50 <br />Water <br />0 <br />❑ <br />• - <br />❑ <br />❑ <br />• <br />❑ <br />❑ <br />❑ <br />• <br />0 <br />• <br />Code 1 <br />SW PL <br />7/06/11 <br />11:55 <br />Water <br />2 <br />❑ <br />• <br />• <br />■ <br />■ <br />❑ <br />■ <br />■ <br />a <br />® <br />❑ <br />Code 1 <br />SW OS <br />7/06/11 <br />12:55 <br />Water <br />® <br />• <br />• <br />❑ <br />• <br />❑ <br />• <br />❑ <br />❑ <br />• <br />2 <br />❑ <br />Code 1 <br />SW BOS <br />7/06/11 <br />13:05 <br />Water <br />® <br />• <br />❑ <br />• <br />• <br />• <br />❑ <br />• <br />• <br />• <br />, ® _, <br />E <br />Code 1 <br />SW GS <br />7/06/11 <br />13:10 <br />Water <br />® <br />❑ <br />• <br />• <br />• <br />• <br />• <br />❑ <br />• <br />❑ <br />® <br />• <br />Code 1 <br />e SW BPL <br />7/06/11 <br />14:30 <br />Water <br />❑ <br />• <br />❑ <br />• <br />❑ <br />❑ <br />• <br />• <br />IS <br />• <br />Table 1 <br />9 <br />❑ <br />• <br />• <br />• <br />❑ <br />❑ <br />a <br />❑ <br />❑ <br />• <br />• <br />❑ <br />P07 /ie2 / C <br />10 <br />❑ <br />• <br />• <br />❑ <br />❑ <br />❑ <br />• <br />• <br />❑ <br />• <br />• <br />❑ <br />Custody <br />Record <br />MUST be <br />Signed <br />Relinquished by: Bob Tennant Date/Time:7 /07111 12.30 <br />Sh pped by: <br />Received by: Date/Time: <br />Relinquished by: Date/Time: <br />Shipped by: <br />Received by: Date/Time: -) ( // <br />Sample Disposal: Return to Client ❑ Lab Disposal ►�i <br />tABOTORY USE ONLY <br />Sample Type # of fractions „ <br />Chain of Custody and Analytical Request Record <br />PLEASE PRINT; provide as much information as possible. Refer to corresponding notes on reverse side. Page 1 of 1 <br />CV Jo VE abed <br />
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