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W-M-0—k-ION SAMPLE SEIM <br />TTALAND TRACKING FORM <br />Sample Submittal <br />A" <br />2"*WW WRX 11*9 -S: V <br />C40" city, CO 81215 <br />Ca <br />-A`�UCJID No. r <br />TW. <br />Cotter L-O—ff-Site Destintieft <br />Affi- <br />0 <br />Al <br />O Doi 1750 <br />AGIN City, CO 81215 X" 729. <br />Phw* C0'*W*4 <br />Lab. Na.(s) <br />!!PION <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination if not Cotter: <br />A,00 h Type: Air — Water Soil <br />Other (specify): <br />Tat series requested:.. <br />- '>' C'�" * - -.-- vt <br />Preserva X111 2 7--s <br />? <br />A- andyala rsqubvd by (if not Holding Time): <br />sermons or other instructions: <br />'._g dreti:ulststnces? It YES initial <br />and explain below. <br />MAX�RWWX'b - Exp1matioa of noted Items: <br />Check if additional attachments. <br />4�4- Uview: <br />=9- <br />NO If NO, explain: <br />5=' <br />