2012-07-30_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 7/30/2012
• Doc Name: TECHNICAL REPORT
• From: MTN STATES
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

111101■M
® ACCUIESiT 4036 Youngfield St, Wheat Ridge, CO 80033
303-425-6021 F/ 25 -6854
Accutest Job #: D36098X
Accutest Quotes 0
AMS P.O. s:
Project No :
„ ^- : ` - I Client information 1.i ?,k.i;_w';
Subcontract Laboratory information
Analytical information
Name
Accutest Mountain States (AMS)
Name
Hazen (Radiological)
Radium 226/228
Comments
Address
4036 Youngfield St.
Address
4601 Indiana Street
City State Zip
Wheat Ridge, CO 80033
City State _
Golden CO 80403
Send Repoli to: Tiffany Pham
Any questions contact Shea Greiner
Contact:
Sample Management
Phone/Fax #: (303) 425 - 6021; (303)425 - 6854
Phone: (303) 279 - 4501
Field ID / Point of Collection
Collection
Metros
1
#of
bottles
Preservation
Date
Time
2 2
2
£ONI-1
2
D36098X -1
7/3/12
10:15 AM
AO
4
X
( Tumaround Information
Data Deliverable Information
Comments / Remarks
© 10 Business Day Standard Approved By:
MI Other (Days)
MI Commercial "A" MI PDF
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Please use Co orado
regulations and RLs.
El Commercial "BN" MI Electronic Delivery:
MI Reduced Tier 1 IIII State Forms
10 Day Turnaround Hardcopy, RUSH is FAX Data unless previously
approved.
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Laborartory Use Only
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Received By:
3
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Temperature •C ❑
CHAIN OF STODY
D36098X: Chain of Custody
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ACCUTEST"
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