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l.vastr <br />vii-mast arcaua411111vaa <br />10 lc <br />to .7' (..cA- • <br />Sample Loc./ID No. <br />Sample Date 6- 14'. Z4'/ Time 11•'40 <br />Collected By 46 + r1� ,../k <br />Field Custodian 6• 41~.e#a <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Submittal NS' S 25 <br />C: P.O. Box 1750 <br />Canon City, CO 81215 <br />W Fig/fa. <br />( ) Check if additional attachments. <br />QA Review: <br />Sample valid? <br />? E S <br />NO( <br />N: P.O. Box 700 <br />S: P.O. Box 1750 <br />Canon City, CO 81215 Nude, CO 81424 <br />Lab. No.(s) <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination if not Cotter: }} <br />(4.,0 ,, <br />. : Y Log 4 Cllr A., a5 <br />2. U S 4.17 el/ e , y . <br />1. Sample Type: Air Water —. Soil Other (specify): <br />2. Analysis — Test series requested: L c} a` a .3 <br />` if .2.57 S / ? 7 (*;;"-v J ?�. . 5a..11-1,- ar <br />Field Data � Preservation: � • _ � ; <br />r rv ei, ",•. ({ S K 3 J ef„i 20 J 2 L : <br />. Date analysis rewired 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: 'y"� ` rr +`� k T f k' 'r ''P t ? . � <br />/ 44 c a +rr / 0 u 4 i, c F a .o J */ 1 <br />) . If NO, explain <br />