Laserfiche WebLink
Lotter <br />LJIL <br />Y11C J/Ca.,ll..uray. <br />�, �a'.v /v G <br />f Y <br />f <br />, 1 <br />�:.?1L` <br />. 1, <br />0 . <br />C: P.O. Box 1750 S: P.O. Box 1750 <br />Canon City, CO 81215 Canon City, CO 81215 <br />Sample Loc. /ID No._ 54 1 P <br />Sample Date 6'1 ." 2 (" ' I Time 11 `) 0 ',— — <br />Collected By id ' % " NN / <br />Field Custodian / — f c.':, /,• r✓.s/c.:7 , <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />1. <br />2. <br />3. Field Data — Preservation: l <br />�- <br />/A/S A.r 7 S <br />c, r1- 1 5 D <br />( <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Submittal s25347 <br />QAC <br />Sample Type: Air Water / Soil <br />Analysis — Test series requested: <br />) Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO ( <br />Jo t <br />6. Invalidating circumstances? If YES initial ( <br />N: P.O. Box 700 <br />Nucla, CO 81424 <br />Lab. No.(s) <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination if not Cotter: y— <br />f tf L- <br />i <br />s / <br />Other (specify): <br />`- 11/ 7 " <br />1 C' L G / ,Z !' Le s r 7‘ <br />5 .. ,, ;///(:/ Z , -•. <br />■ <br />4. Date analysis required by (if not Holding Time): <br />5. Special handling conditions or other instructions: <br />) and explain below. <br />COMMENTS — Explanation of noted items: <br />If NO, explain: <br />Date <br />(W Cl//‘7 <br />"oge38 of 88 <br />