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

C: P.O. Box 1750
Canon City, CO 81215
Sample Loc./ID No.
Delivered By
Received By
Date Recd.
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal 2 s25861
,64../4-14/0
Sample Date 7 2 oil Time 4) :
Collected By 4 If c
Field Custodian ."e
Time Recd.
09.
•
„
/
1. Sample Type: Air Water f Soil Other (specify):
2. Analysis - Test series requested: • 4 . / ■
S: 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:
4,
t
z .,;
(4./ .
3. Field Data - Preservation:
S ,f 2 er-cit.
0 L., c t /
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS - Explanation of noted items:
) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
QAC Date
Page 31 of 38
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C: P.O. Box 1750
Canon City, CO 81215
Sample Loc./ID No.
Delivered By
Received By
Date Recd.
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal 2 s25861
,64../4-14/0
Sample Date 7 2 oil Time 4) :
Collected By 4 If c
Field Custodian ."e
09.
•
„
/
1. Sample Type: Air Water f Soil Other (specify):
2. Analysis - Test series requested: • 4 . / ■
S: 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:
4,
t
z .,;
(4./ .
3. Field Data - Preservation:
S ,f 2 er-cit.
0 L., c t /
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial ( ) and explain below.
COMMENTS - Explanation of noted items:
) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
QAC Date
Page 31 of 38