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OZ to OZ 96ed <br />Energy Laboratories, Inc. <br />2393 Salt Creek Hwy * PO Box 247 <br />Casper, WY 82602-0247 <br />307.235 0515 <br />Subcontractor. <br />ELI - Billings <br />1120 S. 27th St. <br />Billings, MT 59101 <br />TEL: (406) 252-6325 <br />Acct #: <br />FAX: (406) 252-6069 <br />Subcontractor's Client: Cotter Corporation <br />IIIIIIIIIlIIIIIIUI CHAIN -OF -CUSTODY RECORD <br />Custody Seal: Y N <br />Intact: Y N <br />Signature Match: Y N <br />Shipped By: <br />Receipt Temp: <br />Page 1 of 1 <br />25 -Nov -15 <br />H <br />I <br />T <br />Rush Sample ID Matrix Collection Date Bottle Type J ] L. <br />❑ j C15110756 -001D Aqueous 111/24/15 11:15 /1250ML-P-NF-H2SO4 • 1 J Li i <br />❑ LC15110756-002D, Aqueous 7 11!24115 01:20-250ML-P-NF-H2SO4 I' _I P1 ;7 1 1 <br />Earliest Due Date: <br />Comments: <br />TQC Level: <br />STD <br />Relinquished by: <br />Relinquished by: <br />12/28/2015 <br />Date/Time <br />tt(t5/is 13:06 <br />Received by: <br />Received by: —_ <br />Requested Tests 1 <br />Il l,ii� <br />I I <br />J- r7L1�Jl� <br />