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2012-09-03_HYDROLOGY - M1977300
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2012-09-03_HYDROLOGY - M1977300
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Entry Properties
Last modified
8/24/2016 5:07:21 PM
Creation date
8/14/2012 3:37:18 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977300
IBM Index Class Name
HYDROLOGY
Doc Date
9/3/2012
Doc Name
SURFACE WATER DATA MAY 2012
From
COTTER
To
DRMS
Email Name
TAK
Media Type
D
Archive
No
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Company Name: Cotter Corporation <br />Tracking No.5128 0900 1724 & 2000 <br />Project Name: Schwartz - <br />DATE: 5/01/12 SSTF: S26376—S26383 <br />Report Mail Address <br />Cotter Corporation - Canon City Mill <br />PO Box 1750; Canon City, CO 8121 <br />Contact Name: Randy Whicker <br />1- 719 - 275 -7413 ext. 210 <br />Sampler Name if other than Contact <br />1- 303 - 642 -3893 mine phone <br />Bob Tennant 1- 719- 371 - 3009 -cell <br />Invoice Address: <br />PO Box 1750 <br />Canon City, CO 81215 - 1750 <br />Invoice Contact: JoAnne Ary <br />5 - 7413 ext. 209 <br />Fax: 75 - 1669 <br />Purchase Order #: <br />ELI Quote #: <br />Report Required For: POT <br />Other <br />Number of Containers <br />Sample Type: <br />AWSVBO <br />Air, Water,Aoils/SoNds, yepetation, <br />,...73 C aloassay Qt her <br />ANAt,.VSIS REQUEsY <br />Normal Turnaround (TAT) <br />Notify ELI prior to <br />RUSH sample <br />submittal for <br />P additional charges <br />t and scheduling <br />e <br />ReC t Temp <br />C <br />L U - dissolved only - CODE #1 <br />U - total & dissolved - CODE #3 <br />H a-226 total & dissolved CODE#3 <br />SEE ATTACHED TABLE 1 <br />Cooler ID(s) <br />r ,� <br />+ <br />Special Report <br />prior to sample <br />NELAC II <br />Other <br />EDD /EDT <br />Formats — ELI must <br />submittal for the following: <br />A2LA • Lei <br />0 Format <br />Custody al <br />Y fip J <br />intact <br />Y ,/ <br />Signatur} \ <br />Y N <br />Match I N ID <br />Y / <br />RUSH Turnaround <br />Comments: <br />SA Schedule Code : <br />SW CODE I 1 <br />Table 1 <br />Frequenc 1 ' <br />Two COOS <br />SAMPLE <br />IDENTIFICATION <br />(Name, Location, <br />Interval, etc) <br />Collection <br />Date <br />Collection <br />Time <br />SW AWD <br />5/01/12 <br />11:00 <br />Water 7 <br />• <br />• <br />❑ <br />0 <br />❑ <br />• <br />❑ <br />❑ <br />• <br />❑ <br />0 <br />❑ <br />Tablel <br />'. <br />2 SW <br />5/01/12 <br />12:15 <br />Water 7 <br />❑ <br />❑ <br />❑ <br />0 <br />❑ <br />❑ <br />❑ <br />■ <br />• <br />❑ <br />0 <br />❑ <br />Table 1 <br />.' <br />3 <br />❑ <br />• <br />• <br />• <br />• <br />0 <br />0 <br />0 <br />• <br />• <br />❑ <br />0 <br />L,t <br />4 <br />■ <br />■ <br />• <br />❑ <br />❑ <br />❑ <br />❑ <br />• <br />❑ <br />❑ <br />❑ <br />❑❑ <br />5 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />• <br />❑ <br />• <br />D <br />❑ <br />›- <br />cc <br />6 <br />❑ <br />■ <br />• <br />■ <br />• <br />■ <br />❑ <br />■ <br />❑ <br />❑ <br />❑ <br />❑ <br />C.IanS0ofi <br />7 <br />• <br />0 <br />• <br />0 <br />0 <br />• <br />0 <br />0 <br />• <br />0 <br />0 <br />• <br />icx <br />CC <br />8 <br />o <br />• <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />• <br />0 <br />1 : 3 <br />• <br />0 <br />• <br />m <br />.. .i <br />9 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />• <br />• <br />❑ <br />❑ <br />10 <br />• <br />0 <br />• <br />0 <br />• <br />0 0 <br />0 0 <br />0 <br />0 <br />Custody <br />Record <br />MUST be <br />Signed <br />Relinquished by: Bob Tennant Date/Time:5 /01112 16:30 <br />Shipped by: FedEx <br />Shipped by: <br />Received by: eThi— Date/Time:5 a _ 7 <br />Relinquished by: Date/Time: <br />Received by: Date/Time: <br />Sample Disposal: Return to Client • Lab Disposal ® <br />LABORATORY USE ONLY <br />Sample T ri # of fractions <br />Chain of Custody and Analytical Request Record <br />PLEASE PRINT; provide as much information as possible. Refer to corresponding notes on reverse side. Page 1 of 1 <br />6Z 40 LZ abed <br />
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