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C: <br />Sample Loc. /ID No. <br />Sample Date <br />"' 7 - <br />Collected By "g <br />Field Custodian <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Submittal 2 5 2 5777 <br />P.O. Box 1750 S: P.O. Box 1750 <br />Canon City, CO 81215 Canon City, CO 81215 <br />j 4I A 'I Lab. No.(s) <br />/ "go Of Time / a / S <br />/�O rdI✓G .s �� <br />Soil <br />1. Sample Type: Air Water <br />2. Analysis — Test series requested: / ' / <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination if not Cotter: <br />2 3 9 3 f Sc - - /f er e 14w <br />3 ' /,ir. ZGC�2 <br />'7 ,G 7 i�7. 849 ( 'J 2 s ue, - <br />3. Field Data - Preservation: l ,.4 ( <br />r �> `� S ~ ` '' <br />/ /.. e .. d.. , cf. . 2./0 t l 54Jt / i 'v` c9 s ",� /( (,r /W'/I � . . 7 S,s�.. + �, $ 7 cf /d4 <br />f f" /�i/vc c /'C!JA, -,.Y , // � /, 2 S lrZ/r J'7', ' < s ;.r / <br />/ € r ' /G 1/ /_A /1 SC i < -.. <br />4. Date analysis required by (if not Holding Time): <br />5. Special handling conditions or other instructions: <br />6. Invalidating circumstances? If YES initial ( ) and explain below. <br />COMMENTS — Explanation of noted items: <br />( ) Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO ( ) If NO, explain: <br />QAC Date <br />Other (specify): <br />N: P.O. Box 700 <br />Nucla, CO 81424 <br />Page 37 of 44 <br />LLILLCC <br />via •ouc ucouua.rou <br />/) <br />e.,4, <br />4� <br />rte <br />L <br />sue <br />• <br />C: <br />Sample Loc. /ID No. <br />Sample Date <br />"' 7 - <br />Collected By "g <br />Field Custodian <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Submittal 2 5 2 5777 <br />P.O. Box 1750 S: P.O. Box 1750 <br />Canon City, CO 81215 Canon City, CO 81215 <br />j 4I A 'I Lab. No.(s) <br />/ "go Of Time / a / S <br />/�O rdI✓G .s �� <br />Soil <br />1. Sample Type: Air Water <br />2. Analysis — Test series requested: / ' / <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination if not Cotter: <br />2 3 9 3 f Sc - - /f er e 14w <br />3 ' /,ir. ZGC�2 <br />'7 ,G 7 i�7. 849 ( 'J 2 s ue, - <br />3. Field Data - Preservation: l ,.4 ( <br />r �> `� S ~ ` '' <br />/ /.. e .. d.. , cf. . 2./0 t l 54Jt / i 'v` c9 s ",� /( (,r /W'/I � . . 7 S,s�.. + �, $ 7 cf /d4 <br />f f" /�i/vc c /'C!JA, -,.Y , // � /, 2 S lrZ/r J'7', ' < s ;.r / <br />/ € r ' /G 1/ /_A /1 SC i < -.. <br />4. Date analysis required by (if not Holding Time): <br />5. Special handling conditions or other instructions: <br />6. Invalidating circumstances? If YES initial ( ) and explain below. <br />COMMENTS — Explanation of noted items: <br />( ) Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO ( ) If NO, explain: <br />QAC Date <br />Other (specify): <br />N: P.O. Box 700 <br />Nucla, CO 81424 <br />Page 37 of 44 <br />