2012-01-23_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 1/23/2012
• Doc Name: Cotter Monthly and Quarterly Data Part 1 of 3.
• From: Cotter Corp.
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: TAK
• Media Type: D
• Archive: No

Sample Loc. /1D No.
Sample Date R-1/-2 v/ /Time 13 70
Collected By ,LS TP ..... tic f
Field Custodian 0 d C 0Jt,J✓Ct
Delivered By
Received By
Date Recd.
Time Recd.
1.
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal r12 S 25164
C: P.O. Box 1750 S:
Canon City, CO 81215
SW-
Sample Type: Air
Water ? Soil
2. Analysis - Test series requested: T 6/e
4'8
"reed S _ 7s_ )Ti
3. Field Data - Preservation: l 1A.5'
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 Destin ation if not Cotter:
n
k c7/
QAC Date
Other (specify):
/ G / ,4 // /t/D 2 U - J /L e 16-4
-z ` Ce f J / 4/A-- N
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:
( y ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
Page 19 of 19
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Sample Loc. /1D No.
Sample Date R-1/-2 v/ /Time 13 70
Collected By ,LS TP ..... tic f
Field Custodian 0 d C 0Jt,J✓Ct
Delivered By
Received By
Date Recd.
Time Recd.
1.
COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal r12 S 25164
C: P.O. Box 1750 S:
Canon City, CO 81215
SW-
Sample Type: Air
Water ? Soil
2. Analysis - Test series requested: T 6/e
4'8
"reed S _ 7s_ )Ti
3. Field Data - Preservation: l 1A.5'
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 Destin ation if not Cotter:
n
k c7/
QAC Date
Other (specify):
/ G / ,4 // /t/D 2 U - J /L e 16-4
-z ` Ce f J / 4/A-- N
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:
( y ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
Page 19 of 19