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1.011XF <br />J11 - .14 , v aicos,aw...... <br />i 0 007 <br />- 1:406i144 ) -1 <br />C: P.O. Box 1750 S: <br />Canon City, CO 81215 <br />Sample Loc./ID No. Au £ ' — L� <br />Sample Date 9 - .2 K I A ` Time / 1 5 <br />Collected By g0' ( ^.� c - <br />Field Custodian 1 4. re' 07 ■ G A t <br />Delivered By <br />Received By <br />Date Recd. <br />Time Recd. <br />1. <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Type: Air <br />Sample Submittal <br />*,n s2$5S <br />P.O. Box 1750 <br />Canon City, CO 81215 <br />G <br />Water Soil <br />2. Analysis — Test series requested: TG G ,' <br />Lab. No.(s) <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination if not Cotter: <br />o r - 2 r <br />7G o <br />3. Field Data — Preservation: r Q - I3, 7. w‘, so /81/s <br />5 .O? u 5 — + 1) / / /. 2 ?.f'ac4 l 'r <br />f f4 /t/d3 2 o.J /L r , / ( /if f '//i' ( <br />L t./ f / / L y t S 0, S . ; <br />6. Invalidating circumstances? If YES initial ( ) and explain below. <br />COMMENTS — Explanation of noted items: <br />QAC Date <br />N: P.O. Box 700 <br />Nucla, CO 81424 <br />Other (specify): <br />J Q 0,72 ,.....t <br />4. Date analysis required by (if not Holding Time): <br />5. Special handling conditions or other instructions: <br />( ) Check if additional attachments. <br />QA Review: <br />Sample valid? YES ( ) NO ( ) If NO, explain: <br />Page 21 of 21 <br />