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a.va11 <br />vu - IMuc uaauinauun <br />j'' <br />! .. <br />1•l6.- 1 / <br />t©!LIS <br />f . 5 6: <br />C: P.O. Box 1750 <br />Cafion City, CO 81215 <br />Sample Loc./ID No. <br />Sample Date <br />Collected By d` /, <br />Field Custodian i?, a . <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />1. Sample Type: Air <br />L <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Submittal :4 S26167 <br />7- e J. cn 7.- <br />S: <br />c., <br />/ Y 7 601 -nne I).10 <br />Water 4,. <br />Soil <br />2. Analysis - Test series requested: re :. 4 1 <br />3. Field Data - Preservation: 1 .-. . . <br />t* eis: . 4, ?0 <br />14! [4 /i 1t/ ci : :. : y / L <br />2 ': t/ f , / / Z// /I ,'` /z 04 <br />6. Invalidating circumstances? If YES initial ( <br />COMMENTS - Explanation of noted items: <br />.�R <br />( M ) Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO ( ) If NO, explain: <br />P.O. Box 1750 N: P.O. Box 700 <br />Cafion City, CO 81215 Nucla, CO 81424 <br />Lab. No.(s) <br />Date Data Entered <br />t Data Entry By <br />Laboratory Destination if not Cotter: <br />+4. j p4 # ° , . , / i'- • ,: ' .+ rs L20 , <br />c � t if/y . =: 2c; o ) <br />Other (specify): <br />4,7 9 4' � f / <br />>.,... .2 �,_.. t y; s1) Y. ? <br />{ 1= , / r. }- f.,r; r A -4/ le' el 2 <br />4. Date analysis required by (if not Holding Time): <br />5. Special handling conditions or other instructions: t <br />) and explain below. <br />QAC Date C <br />7 <br />`f <br />