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COTTER CORPORATION SAMPLE. SUBMTTAL AND TRACKING FORM <br />0 <br />K' <br />C: P.O. Box 1730 P.O. Du 1750 <br />Cation City, CO 81215 Cation City, CO 81215 <br />T 1410� - �17 <br />'Irv, <br />By <br />Cotter <br />ri o <br />T q0 <br />Lab. No4s) <br />Date Data Entered. <br />Data Entry By <br />Laboratory Ditination If I <br />CA <br />Uu/r <br />Air - Water Sell <br />Other (specify): <br />Test series r""": 'C &-- <br />-1 XW 7_7.� -7.S* <br />Preservation: T <br />!!tO!E4 IA3 S-1 1L. .)CA 'A <br />Holding Time): <br />3. c�miditious or other instructions: <br />U9 ft-0 <br />circumstances. U YES initial and explain below. <br />Esplanation of noted items: <br />46: <br />Check If additional attachments. <br />QA Review: <br />Sample valid? YES NO U NO, explain: <br />QAC <br />_Page 8 o 9,.A" <br />