2011-09-12_HYDROLOGY - M1977300

• 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

Company Name: Cotter Corporation
Tracking No. 3692013 61578712
Project Name: Schwartz -
DATE: _7/12/11 SSTF: S25876-- S25883
Report Mail Address:
Cotter Corporation - Canon City Mill
PO Box 1750; Canon City, CO E
Contact Name: Randy Whicker
1- 719 -275 -7413 ext. 210
Sampler Name if other than Contact:
1- 303 -642 -3893 mine phone
Bob Tennant 1- 719- 371- 3009 -cell
Invoice Address:
PO Box 1750
Canon City, CO 81215 -1750
Invoice Contact: JoAnne Ary
- 275 -7413 ext 209
Fax: [phone].
Purchase Order #:
ELI Quote #:
Report Required For: F
Other
K Number of Contains
y Sample Type:
—I AWSVBO
%D Air, Water Soils/Solids, Vegetation,
X @;iaassay Qther
Normal Turnaround (TAT)
Notify ELI prior to
RUSH sample
submittal for
P additional charges
. and scheduling
Rec. 'mp
t C
U - dissolved only - CODE #1
U- total & dissolved - CODE #3
Ra-226 total & dissolved CODE#3
SEE ATTACHED TABLE 1
ler ID( ir
L
Special Report Formats — ELI must
prior to sample submittal for the
NELAC ❑ A2LA ❑
Other
EDD /EDT ❑ Format
Custody eal
Y !
Intact
Y / N
Signature
Y / N
Match LAB ID
Y / N
RUSH Tumaround
Comments:
S&A Schedule Code :
SW CODE I 1
Table 1
Frequency 1,
Two coolers
SAMPLE
IDENTIFICATION
(Name, Location,
interval, etct
Collection
Date
Collection
Time
1 SW AWD
7/12/11
9:40
Water
0
•
•
•
•
❑
❑
•
❑
•
®
❑
Code 1
2 SW AOO1
7/12/11
9:50
Water
®
❑
❑
❑
•
❑
•
❑
❑
❑
®
•
Code 1
SW BDIS
7/12/11
10:00
Water
®
•
❑
❑
•
❑
❑
•
❑
•
0
•
Code 1
° SW PL
7/12/11
11:50
Water
®
❑
•
•
❑
❑
❑
•
❑
❑
®
❑
Code 1
6 SW OS
7/12/11
11:55
Water
®
•
•
•
•
•
❑
•
•
•
0
•
Code 1
6 SW BOS
7/12/11
12:05
Water
:<
•
❑
❑
❑
❑
❑
❑
•
•
0
❑
Code 1
SW GS
7/12/11
13:20
Water
0
•
❑
❑
❑
❑
■
•
❑
■
„
•
Code 1
e SW BPL
7/12/11
13:30
Water
0
•
•
•
❑
0
•
0
❑
•
•
•
❑
0
❑
•
❑
0
•
0
0
s
•
s
Code 1
L` //(;705A-
10
■
•
❑
❑
■
❑
•
•
•
•
•
❑
Custody
Record
MUST be
Signed
Relinquished by: Bob Tennant Date/Time:7 /13/11 17 30
Sh pped by:
Received by: ;: Date/Time: H /l
Relinquished by: Date/Time:
Sh pped by;
Received by: Date/Time:
Sample Disposal: Retum to Client • Lab Disposal 0
LABORATORY USE ONLY
Sample Type # of fractions
Chain of Custody and Analytical Request Record
PLEASE PRINT; provide as much information as possible. Refer to corresponding notes on reverse side. Page 1 of 1