2012-09-19_HYDROLOGY - M1977300 ‎(2)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 9/19/2012
• Doc Name: SURFACE WATER DATA FOR JULY 2012
• From: COTTER
• To: DRMS
• Email Name: TAK
• Media Type: D
• Archive: No

Raadie Loc./ID No.
Sample Date
'livered By
Received By
Date Recd.
Time Recd.
COTTER CORPORATION SAMPLE SUBMITTAL AND TitAelCING FORM
Sample Submittal t t� S 26537
C: P.O. Box 1750
Canon City, CO 81215
3. Field Data - Preservation:
� 9 . 111.0 j /3© --
Date Data Entered
Collected By _ )4o 4. 1► r „ _/ Data Eitry By
Field Custodian _ 6 71,A Laboratory Destination if not Cotter:
Cotter Off.Site Destination
)2 l 1r- 4,1441 f i f y
10, ./ `Jl 440A -
7'7 -�
ittai
4
Soil Other (specify):
2. Analysis - Test seZei requeste j.Q 3
1. Sample 1'yPe: Air Wate
S: .PAL &KM°
L l./ ./ ///vO /d
P.O. Box 700
Nucla, CO 81424
Lab. No.(s)
Cafion City, CO 81215
Antale-
4. DDlsinalysis n : olding Time):
�� -
Special handling conditions or other instructioasr `• - •
6. Invalidating circumstances? If Y '`initial (
COMMENTS - Explanapos of noted items:
( ) Check if additional cents.
QA Review:
Sample valid? YES ( ) NO (
QAC
3 9 3 S ( - ,,, //
) and explain below.
Date
) Ife�itptain: --
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