2013-08-06_HYDROLOGY - M1977300 ‎(2)‎

• Permit No: M1977300
• IBM Index Class Name: HYDROLOGY
• Doc Date: 8/6/2013
• Doc Name: Surface Water Data for May 2013- 2.
• From: Cotter
• To: DRMS
• Permit Index Doc Type: Hydrology Report
• Email Name: TAK
• Media Type: D
• Archive: No

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Sample Submittal
C: P.O. Box 1750 S: P.O. Box 1750 N: P.O. Box 700
Caiion City, CO 81215 Caiion City, CO 81215 Nucla, CO 81424
Sample Loc./ID No. � ' i ,' r
Lab. No.(s)
Sample Date " ��r Time
_n-
Collected By
Field Custodian �. /s. .-► `�
Delivered By
Received By
Date Recd.
Time Recd.
Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
J
1. Sample Type: Air Water Soil Other (specify):
2. Analysis — Test series requested: '' `
3. Field Data — Preservation: J
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/777
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'r s
7
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
Page 35 of 37
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Date Data Entered
Data Entry By
Laboratory Destination if not Cotter:
J
1. Sample Type: Air Water Soil Other (specify):
2. Analysis — Test series requested: '' `
3. Field Data — Preservation: J
�i
/777
f {
'r s
7
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
Page 35 of 37