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

COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
S 2.5B64
• .,
Sample Submittal ► ��.
C: P.O. Box 1750 S: P.O. Box 1750
Cason City, CO 81215 Canon City, CO 81215
Sample Loc./ID No. £ Y.° I_
Sample Date 7 - ° Z"' Time 12:9' •-
Collected By et 1 - - .) / t''�� C -•% �c-
Field Custodian o it rr'�1w'� -.. j
Delivered By
Received By
Date Recd.
Time Recd.
1.
2.
tY Si D i ti
Sample Type: Air Water / Soil Other (specify):
Analysis - Test series requested: .- ) . /
3. Field Data - Preservation: 7 / 7. ,
7s
I .-
> ti . es" l 1 • tl 2
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial (
COMMENTS - Explanation of noted items:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO (
QAC
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
y , l JJ .r , fir
• .✓kr ./ c'�f s t 4 :.jY S..e I iii!4 f T ) . X 4 4
j
r "
Date
N: P.O.Box700
Nucla, CO 81424
7• ' - ,r zf, 7 0 I - ` t,
r (
)ad explain below. -
) If NO, explain:
Page 34 of 38
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9
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
S 2.5B64
• .,
Sample Submittal ► ��.
C: P.O. Box 1750 S: P.O. Box 1750
Cason City, CO 81215 Canon City, CO 81215
Sample Loc./ID No. £ Y.° I_
Sample Date 7 - ° Z"' Time 12:9' •-
Collected By et 1 - - .) / t''�� C -•% �c-
Field Custodian o it rr'�1w'� -.. j
Delivered By
Received By
Date Recd.
Time Recd.
1.
2.
tY Si D i ti
Sample Type: Air Water / Soil Other (specify):
Analysis - Test series requested: .- ) . /
3. Field Data - Preservation: 7 / 7. ,
7s
I .-
> ti . es" l 1 • tl 2
4. Date analysis required by (if not Holding Time):
5. Special handling conditions or other instructions:
6. Invalidating circumstances? If YES initial (
COMMENTS - Explanation of noted items:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO (
QAC
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
y , l JJ .r , fir
• .✓kr ./ c'�f s t 4 :.jY S..e I iii!4 f T ) . X 4 4
j
r "
Date
N: P.O.Box700
Nucla, CO 81424
7• ' - ,r zf, 7 0 I - ` t,
r (
)ad explain below. -
) If NO, explain:
Page 34 of 38