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%A m or <br />%ninouw u1wRUUUe <br />tg 6 7 P4n0 •t <br />fie I . <br />e f <br />- C <br />ft. 12-12 <br />MAO <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Submittal i S26436 <br />Cs I P.O. Box 1750 Ss 10. $nit PION <br />Sample Lee.= No,. S h. 41 D Lab. No.(s) <br />Callon City, CO 81215 <br />sa. p a sat. 't- // -2" /J / <br />Conflated By 604 7; " .4 44 <br />Field C,p 4a /5t)4, p,, a <br />Delivered By <br />Received BY <br />DNalleed. <br />That Ltd. <br />1. Sample Type: <br />Air Wa Soil • Other (specify): <br />2. ' Analysis — Test series requested: ( o. # / <br />°` 0 g 7.2o 10ti iZoV c�4 <br />3. ' Field Data — P 9 � ��.qf' � / /�j) <br />vase a f, d 2 • 1 • f +•✓ Y 4V' `Z ca -t S a. 5 4 //4/ a 2 a 5 i A�r' <br />,504 - /1A <br />Date analysis required by (if not Holding Time): <br />5. Spell handling conditions or other instructions: <br />• 6. Invalidating circumstances? u YES initial ( <br />COMMENTS — Explanation of noted •items: <br />( ). Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO (. ) If NO, explain: <br />QAC <br />Canon City, CO 81215 Nnela, CO 81424 <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination U not Cotten <br />i r,C, y L 4c n <br />..� q Sdt 6/44.y, <br />o � p .e., 004 e4fe I <br />) and explain below. <br />P.O.. Box 700 <br />y?, : >' Page <br />