2012-08-06_HYDROLOGY - M1977300 ‎(2)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 8/6/2012
• Doc Name: SURFACE WATER DATA FOR APRIL 2012
• From: COTTER
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

CO" SR CORPOIl4TION SAMPLE SUBMITTAL AND TRACKING FORM
C: P. 1714 S: P.O. Boa 1758 N: P.O. Box 700
Cry, CO 81215 Calon City, CO 81215 Nucla, CO 81424
Sample Loc.JID No. $ w iZ /e9,z Lab. No.(s)
Sample Date = 1 2 Time
cam+ /104 r4getA G.4
Field• Custodian Laboratory Destination if not otter:
Cotter Oft -Site DaRiaatioa eA e ', y �.G b p• tmss
Delivered B
1353 ...Celt' Cv ev h
By
Rteceivedd By
ate id
Time Recd.
Sample Submittal
t Sli4S$
Date Data Entered
Data Entry By
,c y. f 2
o.
Water f Soil Other (specify):
2. Analysis - ; 148$40,401 ested: TAI C le. /
1. Sample Type:
3. Flea Data - .Preservation: r n " 1.7 2 /1 T. +� 9 f rvd. 2 / adz, � -
19 1 1.2 /c f4 . tmio 2 Q..1
1.2 r 6= r�rP --1#44f 2S ,.J JCjiF /L t ,�1 t �"a
c�. �. S L dP;4, M# z.. S y
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:
f ) Check if additional attachments.
QA Review:
S valid? YES ( ) NO ( ) If NO, explain:
QAC
• Page 42 of 42
f'
F
G
G - iz
to;,
CI C55
CO" SR CORPOIl4TION SAMPLE SUBMITTAL AND TRACKING FORM
C: P. 1714 S: P.O. Boa 1758 N: P.O. Box 700
Cry, CO 81215 Calon City, CO 81215 Nucla, CO 81424
Sample Loc.JID No. $ w iZ /e9,z Lab. No.(s)
Sample Date = 1 2 Time
cam+ /104 r4getA G.4
Field• Custodian Laboratory Destination if not otter:
Cotter Oft -Site DaRiaatioa eA e ', y �.G b p• tmss
Delivered B
1353 ...Celt' Cv ev h
By
Rteceivedd By
ate id
Time Recd.
Sample Submittal
t Sli4S$
Date Data Entered
Data Entry By
,c y. f 2
o.
Water f Soil Other (specify):
2. Analysis - ; 148$40,401 ested: TAI C le. /
1. Sample Type:
3. Flea Data - .Preservation: r n " 1.7 2 /1 T. +� 9 f rvd. 2 / adz, � -
19 1 1.2 /c f4 . tmio 2 Q..1
1.2 r 6= r�rP --1#44f 2S ,.J JCjiF /L t ,�1 t �"a
c�. �. S L dP;4, M# z.. S y
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:
f ) Check if additional attachments.
QA Review:
S valid? YES ( ) NO ( ) If NO, explain:
QAC
• Page 42 of 42