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COTTER CORPORA" ..SAMPLE SUBMITTAL AND TRACKING FORM <br /> !O.Box 1759 S.- P.O.Box 1750 N: P.O. <br /> Cason City, CO 81215 Caion City, CO 81215 N�ofa, <br /> jlw <br /> 1�I�. r.•r ea Lab. No.(s) <br /> s. <br /> 't#■tt '' S'' Date Data$ntered <br /> Data Bt1 F <br /> Labiea6wY.0odluation it met Cotter: <br /> Energy Laboratories, Inc. <br /> �a. <br /> 2393 Salt Creek Hwy <br /> ` Casper, WY 82601 h v <br /> 4 Type: Air Watt,S Soil Other(specify): , <br /> W series requested. -s le 7 . <br /> iq­ <br /> tip ✓ l,v e t T t .i N , <br /> F ' <br /> t+egdred by(if net$0lditT Time): <br /> F <br /> nditisaa or 'Latr"sion# � a <br /> acts? If'f$S initial ( )and explain below v <br /> on of noted ito": <br /> Y <br /> .. Check it additional rttaclvBeSta. <br /> S t: <br /> aNdT YES ( ) "D ( ) It NO,explain: <br /> f QAC E-' d Dele <br />