2012-08-21_HYDROLOGY - P2011003

• Permit No: P2011003
• IBM Index Class Name: HYDROLOGY
• Doc Date: 8/21/2012
• Doc Name: WQ SAMPLING RESULTS
• From: KARMEN KING
• To: DRMS
• Email Name: RCO
• Media Type: D
• Archive: No

D0) 334 -5493
CH/ IN of CU3TDI)Y
Address:
2773 Downhill Drive
reported
ht::t1,1.11
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w
4
v
0
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o
to
'X
Steamboat Springs, CO 80487
Telephone:
(970) 879 -6590 ext
107
E -mail:
Telephone:
Project /PO #: 16353
Reporting state for compliance testing:
Sampler's Name:
Are any samples NRC licensable material?
SAMPLE IDENTIFICATION DATE TIME
L95680 - 01
Address:
• 2773 Downhill Drive
1
If sample(s) received past holding time (HT), or if insufficient HT remains to complete YES
analysis before expiration, shall ACZ proceed with requested short HT analyses? NO
If "Np" then ACZ will contact client for further instruction. If neither "YES" nor "NO"
is indicated, ACZ will proceed with the requested analyses, even if HT is expired, and data will be qualified.
X
Are samples for CO DW Compliance Monitoring?
If yea, please include state forms. Results will
PROJECT INFCRIIATIOP)
Quote #:
be
Yes t
'f.ttri
reported
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PQL.
»"1F.:'I
::I
i'r ■
YES
NO
X
Project /PO #: 16353
Reporting state for compliance testing:
Sampler's Name:
Are any samples NRC licensable material?
SAMPLE IDENTIFICATION DATE TIME
L95680 - 01
07/16/2012 0800
SW
1
X
.:L L95680 -02
07/16/2012 0900
SW
1
X
ADZ ab oratories, Inc.
2773 Downhill Drive Steamboat Springs, CO 80487 (8
I?c,n ta_
Name:
Name:
Matrix
Ton
Tony Antalek
Company:ACZ Labs, Inc.
E - mail: Tantalek @acz.com
Yvonne Baker
E -mail [e-mail]
FRMAD050.o1.15.09 White - Return with sample,
Telephone:
Sub - contracted to Paragon Analytical Labs, Attn: Amy Wolf, 225 Commerce Drive,
Ft. Collins, Co 80524 (800) 443 -1511 - Ship via UPS Ground
" Analysis requested - PCBs
PEFJN DISHED v DA_'_: .'IMF
Steamboat Springs, CO 80487
(970) 879 -6590 ext 102
SW (Surface Water) • GW (Ground Water) • WW (Waste Water) • DW (Drinking Water) • SL (Sludge) • SO (So .) • (L .1)
07/18/12 1600
DATE TIME
Antalek
VP /Inut - Rohe)..
Pa a 41 of 5�