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2013-08-20_HYDROLOGY - M1977300 (3)
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2013-08-20_HYDROLOGY - M1977300 (3)
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Entry Properties
Last modified
8/24/2016 5:23:58 PM
Creation date
8/22/2013 8:58:04 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977300
IBM Index Class Name
HYDROLOGY
Doc Date
8/20/2013
Doc Name
Groundwater Data for Second Quarter, 2013- 3.
From
Cotter
To
DRMS
Permit Index Doc Type
Hydrology Report
Email Name
TAK
Media Type
D
Archive
No
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T <br />CD <br />CD <br />N <br />O <br />0 <br />ABUChain of Custody and Analytical Request Record <br />PLEASE PRINT; provide as much information as possible. Refer to corresponding notes on reverse side. Page 1 of 1 <br />Company Name: Cotter Corporation <br />Project Name: Schwarz - <br />Tracking No. 3692013 61723688 <br />DATE: 6/12/13 SSTF: S27034 <br />Report Mail Address: <br />Sampler Name if other than Contact: <br />Cotter Corporation - Canon City Mill <br />Contact Name: Frank Adamic <br />1- 303.642 -3893 mine phone <br />PO Box 1750; Canon City, CO 81215 -1750 <br />Voice: 1 -719- 275 -7413 ext 204 <br />Bob Tennant 1- 719- 371- 3009 -cell <br />Invoice Address: <br />Invoice Contact: JoAnne Ary <br />Purchase Order #: <br />ELI Quote* <br />PO Box 1750 <br />Tel: 1- 719 -275 -7413 ext. 209 <br />Canon City, CO 81215 -1750 <br />Fax: 1 -719- 275 -1669 <br />ANALYSIS <br />REQUESTEV <br />Notify ELI prior to <br />Receipt Temp <br />Report Required For: POTW/W VTP El <br />RUSH sample <br />o C <br />Other <br />Special Report Formats — ELI must be notified <br />1-01 1 <br />a <br />submittal for <br />F additional charges <br />Co oID {s) <br />prior to sample submittal for the following: <br />m <br />and scheduling <br />Custody <br />y <br />NELAG ❑ A2LA E] Level IV (I <br />Other <br />4 <br />g Comments: <br />e <br />N )a <br />EDD /EDT [--] Format <br />E <br />E S&A Schedule Code: <br />Intact `✓ <br />z <br />N <br />~ <br />0 <br />GW CODE: <br />� <br />YIN <br />Signature <br />YIN <br />SAMPLE <br />IDENTIFICATION <br />Collection <br />Collection <br />r= uresenc. <br />Match LAB ID <br />ion <br />(Name, Location, <br />Date <br />rime <br />me <br />` <br />YIN <br />Interval, etc ) <br />MATRIX <br />" <br />Domestic Well <br />&12/13 <br />10:00 <br />Water 6 <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />® <br />❑ <br />>- <br />2 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />3 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />W <br />4 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />O <br />❑ <br />❑ <br />5 <br />01010 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />111111-11 <br />oc <br />s <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />II-- <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />e <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />a� <br />9 <br />❑ <br />❑ <br />❑ <br />❑ <br />1110 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />10 <br />0101010101010 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Custody <br />Reli fished b : Bob T nnant Dete/Time:6 /12/13 17:00 <br />1 Shipped <br />by: FedEx <br />Received by: Date/Time: <br />Record <br />Relinquished by: Date/Time: <br />I Shipped by: <br />Received by� Date/Time: 6 <br />MUST be <br />Signed <br />Sample Disposal: Return to Client ❑ Lab Disposal ® <br />1. <br />LABORATORY USE ONLY <br />Sample.Type # of fractions <br />
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