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COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />C: P.O. Box 1150 <br />Cafion City, CO 81215 <br />Sample Submittal <br />Sample Loc./ID No. _ic J / Lab. No.(s) <br />Sample Date 7 Ai/ Time 0 <br />Collected By , <br />Field Custodian -1 <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />iler Cis. <br />1. Sample Type: Air Water <br />2. Analysis - Test series requested: <br />3. Field Data - Preservation: <br />QAC <br />s 25117$ <br />S: P.O. Box 1750 <br />Canon City, CO 81215 <br />Date Data Entered <br />N: P.O. Box 700 <br />Nucla, CO 81424 <br />Data Entry By <br />Laboratory Destination if not Cotter: <br />• r,fforZ • <br />.„ ./ t ••••% • <br />7 7 S <br />Soil Other (specify): <br />.4' 7 g 0 2 .? 1 <br />•^1. . 3 • f <br />4, <br />/ i d r <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: /Tex' 7 1/4-0 .r • • / ,) <br />, re-, e" f- ir'et <br />( ) Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO ( ) If NO, explain: <br />Date <br />IL,Ultei <br />vii.oiss rocarsuasavas <br />C- <br />I:: 4"4 <br />•-■ <br />t'' ' <br />AI <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />C: P.O. Box 1150 <br />Cafion City, CO 81215 <br />Sample Submittal <br />Sample Loc./ID No. _ic J / Lab. No.(s) <br />Sample Date 7 Ai/ Time 0 <br />Collected By , <br />Field Custodian -1 <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />iler Cis. <br />1. Sample Type: Air Water <br />2. Analysis - Test series requested: <br />3. Field Data - Preservation: <br />QAC <br />s 25117$ <br />S: P.O. Box 1750 <br />Canon City, CO 81215 <br />Date Data Entered <br />N: P.O. Box 700 <br />Nucla, CO 81424 <br />Data Entry By <br />Laboratory Destination if not Cotter: <br />• r,fforZ • <br />.„ ./ t ••••% • <br />7 7 S <br />Soil Other (specify): <br />.4' 7 g 0 2 .? 1 <br />•^1. . 3 • f <br />4, <br />/ i d r <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: /Tex' 7 1/4-0 .r • • / ,) <br />, re-, e" f- ir'et <br />( ) Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO ( ) If NO, explain: <br />Date <br />