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_uIIvI <br />vaavuc APICOSIMMIJUU <br />Aa 4�.vi✓4.f <br />fe j;" <br />q - 3- // <br />&4 f- <br />C: P.O. Box 1750 S: P.O. Box 1750 <br />Cation City, CO 81215 <br />Sample Loc./ID No. ' 1 ' <br />Sample Date S - 42. - .2 ©f/ Time / :o a <br />Collected & P.✓. ' <br />y <br />Field Custodian 60 40 -rip... ..v *' <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />• COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Submittal <br />s 25102 <br />N: P.O. Box 700 <br />Canon City, CO 81215 Nucla, CO 81424 <br />Lab. No.(s) <br />-� e w e <br />1. Sample Type: Air Water / Soil Other (specify): <br />2. Analysis - Test series requested: ( ,e 4 <br />3. Field Data - Preservation: r• y � s <br />s mow. 7 , S .- S J <br />Sfe.. <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination if /! not Cotter: <br />0 .C°ivC r >/ Lc 4 oi fDrr., ...C. <br />73 92 .sue. It ('Y w 4' ' "7' <br />E 2 6 0 / <br />d� H 7. 70 2/6 L Sdl- <br />, e. S` 4-/= ,4 A/e 2._ 3 <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 />Page 35 of 41 <br />