2011-09-12_HYDROLOGY - M1977300 ‎(2)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 9/12/2011
• Doc Name: SWQ Monitoring- July 2011- Part 2
• 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 61588743
Project Name: Schwartz -
DATE: _7119111 SSTF: S25861- -S25868
Report Mail Address:
Cotter Corporation - Canon City Mill
PO Box 1750; Canon City, CO 8
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: I 275 - 1669
Purchase Order #:
ELI Quote #:
Report Required For: P
Other
g Number of Containes
Sample Type:
AWSVBO
8a, Water Soils /Solids, Vegetation.
i X Bioassay Ober
Normal Turnaround (TAT) •
Notify ELI prior to
RUSH sample
submittal for
F additional charge
. and scheduling
Receipt Temp
! j , C
U - dissolved only - CODE #1
U - total & dissolved - CODE #3
Ra-226 total & dissolved CODE/03
SEE ATTACHED TABLE 1
Cooler ID(s) L _
I t
Special Report
prior to sample
NELAC •
Other
EDD /EDT
Formats — ELI m
submittal for the
A2LA • Level IV 0
❑ Format
Custody Seal
Y1
Intact,
a/ N
Signgtt,re
/ N
Match LAB ID
/ N
RUSH Turnaround
Comments:
SBA Schedule Code :
SW CODE 11
Table 1
T 1,
Tww coollee rs
SAMPLE
IDENTIFICATION
(Name, Location,
Interval, etc)
Collection
Date
Collection
Time
SW AWD
7/19/11
10:15
Water
®
■
•
❑
•
❑
•
❑
❑
❑
®
❑
Code 1
s SW A001
7/19/11
11:00
Water
•
❑
•
®
•
❑
•
•
•
❑
0
❑
Table 1
SW BDIS
7/19/11
12:40
Water
0
❑
•
❑
•
•
❑
•
❑
•
o'
❑
Code 1
SW PL
7/19/11
12:45
Water
0
•
•
•
❑
❑
•
•
❑
•
0
❑
Code 1
$ SW OS
7/19/11
13:50
Water
o-
❑
•
•
•
❑
❑
❑
❑
•
0
❑
Code 1
e SW BOS
7/19/11
14:00
Water
•
❑
•
•
❑
❑
•
❑
•
®
Code 1
SW GS
7/19/11
14:50
Water
o
❑
❑
•
❑
❑
❑
❑
❑
•
-
•
Code 1
e SW BPL
7/19/11
14:55
Water
0
❑
•
•
❑
❑
❑
❑
❑
❑
0
❑
Code 1
9
❑
•
❑
❑
•
❑
❑
❑
❑
❑
•
❑
10
CI
■
❑
❑
❑
❑
❑
•
❑
❑
•
r� j
G' //D /Dl 7 Y
Custody
Record
MUST be
Relinquished by: Bob Tennant Date/ Time:7 /20111 10 30
Sh pped by:
Received by: Date/Time:
Relinquished by: Date/Time:
Sh'pped by:
Received by: r! Date/Time: 7/e//// /
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