2012-08-02_HYDROLOGY - M1977300

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 8/2/2012
• Doc Name: SURFACE WATER DATA FOR APRIL 2012
• From: COTTER
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

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Sample LoeJID No. a PZ
Sample Date - : 1 2. Time P 3
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Field Custodian
Delivered By
Received By
Dateead.
Time Recd.
1. Sample Type:
COER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal r,Ye S2.6458
Air _ Water ! Soil Other (specify):
2. Analysis - Faitineini rsgl sted: l�r b IQ
3. Field Data - Preservation: r 0- 3.1 /i 121 rvct 2', f J dt S
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4. Date analysis required by (if not Holding Time):
S. 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 (
QAC
) NO (
P.O. Box 1750 N: P.O. Box 700
Cation City, CO 81215 Nucla, CO 81424
Lab. No.(s)
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
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) and explain below.
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) If NO, explain:
Date
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