2012-12-17_HYDROLOGY - M1977300 ‎(3)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 12/17/2012
• Doc Name: Groundwater Data for Third Quarter 2012- Section 3
• From: Cotter
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: TAK
• Media Type: D
• Archive: No

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COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal :.: s2663$
C: P.O. Box 1750
Canon City, CO 81215
. 04,^ Sample Loc./ID No. _ '"" / 6 Lab. No.(s)
Sample Date 9" / �+ / 2 Time / . ' 3o
Collected By /3 `� 7 "'. i -'► �^
Field Custodians [ 1 c i A+ r
Delivered By
Receiv By
Date Recd.
Time Recd.
S D *ion
S: P.O. Box 1750 N: P.O. Box 700
Canon City, CO 81215 Nucla, CO 81424
Date Data Entered
Data Entry By
Laboratory D if not Cotter: 'f
ofrs, S , , iv rl ( ✓ !
1. Sample Type: Air Water l.%' Soil Other (specify):
2. Analysis — Test series requested: 7 . l > r
3. Field Data — Preservation: r-` 2 V 0 5„X.2 .2 5
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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:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
QAC Date
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COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM
Sample Submittal :.: s2663$
C: P.O. Box 1750
Canon City, CO 81215
. 04,^ Sample Loc./ID No. _ '"" / 6 Lab. No.(s)
Sample Date 9" / �+ / 2 Time / . ' 3o
Collected By /3 `� 7 "'. i -'► �^
Field Custodians [ 1 c i A+ r
Delivered By
Receiv By
Date Recd.
Time Recd.
S D *ion
S: P.O. Box 1750 N: P.O. Box 700
Canon City, CO 81215 Nucla, CO 81424
Date Data Entered
Data Entry By
Laboratory D if not Cotter: 'f
ofrs, S , , iv rl ( ✓ !
1. Sample Type: Air Water l.%' Soil Other (specify):
2. Analysis — Test series requested: 7 . l > r
3. Field Data — Preservation: r-` 2 V 0 5„X.2 .2 5
Y / /9 l / ! : n. r! d . ( 13 / ef. 7 S ' ` /f 7 / 7. y L � ,,.� rc e S .,7
/�. i-i /i /4/ 7 --� 2 Z-1/./ / Lf /r.'
'7.. 0
, ll L �,, f r fe �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:
( ) Check if additional attachments.
QA Review:
Sample valid? YES ( ) NO ( ) If NO, explain:
QAC Date
ayt Li UI Li