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1.-.411 <br />1.111"7AW WG01.11.1011.111111 <br />......- <br />EA - W 4 Al <br />0" <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sit4ple S 251t15 <br />C: P.O. Box 1750 ..: S: P.O. Box 1750 N: P.O. Box 700 <br />Canon City, CO 81215 . Cation City, CO 81215 Nucla, CO 81424 <br />Sample Loc./ID No. r ki A / # <br />Sample Date 7 / 2 of Time 1 50 <br />Collected By fz„,A <br />Field Custodian (2 I .1; J 4 r <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />Aft Qii. nmafIssebt:n. <br />1. Sample Type: Air Water <br />2. Analysis — Test series requested: <br />Lab. No.(s) <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination if not Cotter: <br />(„ost,o t g 0 / <br />Soil Other (specify): <br />•• <br />3. Field Data — Preservation: T g 7.8 2 Z 1 V <br />z j - A) / - <br />Z Ie. ./7/ <br />4. Date analysis required by (if not Holding Time): <br />F 5. Special handling conditions or other instructions: <br />6. Invalidating circumstances? If YES initial ( ) and explain below. <br />1COMMENTS — Explanation of noted items: t t / / t"'• .C.A. i iq, ie' i .. i /e , s' , i e /1. <br />,,, <br />/ -i- <br />* i / 7 e:,- ,---) e; ,,-) ,, ...- c ,-.. -#: i , le 1 , . c 4'17 <br />v k <br />) Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO ( ) If NO, explain: <br />QAC <br />Date <br />