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�' �,. �.• -b�w�f ate; <br /> COTTER CQi w .. <br /> �j. f i .RL'YR k M Yy^.v <br /> L } 'Mik <br /> �w `•"` ' , S. P.O.Box 1750 � <br /> Callon City, CO 91215 <br /> t <br /> No. ,�—`'. Lab.No.(B) <br /> 5 <br /> 1. <br /> Q _ a <br /> yAm <br /> -�-r---�— „� t• <br /> IT Data Entry B' <br /> 4ok1_#4 Or <br /> Laboratory Destination iE ;- r <br /> °�s= Cotter Oii-Se tiH <br /> t : 4 <br /> �'• ���. _ Energy Laboratories,Inc. <br /> 7 2393 Salt Creek Hwy �r <br /> Casper, WY 82601 <br /> 17) <br /> R Ail' Soil oth" <br /> 4 Y at r" f h <br /> t I wAM <br /> K 5 � <br /> 00164mil by(if ant ding Time): <br /> ¢ , conditions or Instructions: k ' <br /> 1: <br /> amstances? f' 1 initial ( )and explain Amplamation of noted items: <br /> f+ <br /> 1� 2' <br /> F •� K <br /> 4t � <br /> f <br /> a -' <br /> Glsiels if ditiaaaf Attacinseb. <br /> e valid? YES ( ) . :( ) If NO, explain: <br /> �� QAC Date <br />