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*-"W"UON SAMPLE SUBMITTAL AND TRACKING FORM <br />Saw& Submittal <br />S: P.O. Sm 1750 <br />Cafion city, Co 81215 <br />IN" 04 <br />y <br />WOW I <br />i —� &OCOUMU02 <br />+ <br />1 <br />*Pod"* By <br />IMAM* <br />ThM teed. <br />WOW I <br />i —� &OCOUMU02 <br />+ <br />1 <br />Lab. No.(s) <br />Date Data Entered <br />Data Entry By <br />Laboratory Destination V noat QA4ftr: <br />e'4�-4n t.,: <br />-L Smmd Soil eTvue: Air Water Other (specify): <br />Avolysis— Test series req---'-": <br />Aft" Data — Preservation: <br />t117-4 Ilitl--' 111,0 je 4=- <br />X <br />J.We analysis required by (if not Holding Time): <br />L Special handling condiflow or other InstractWes: <br />C .4opolMadu circumstances? If YES initial and explain below. <br />—PEPIN XV – Explanation of noted item*. <br />Check it additional attachments. <br />QA' view: <br />Sample valid? YES NO If NO, explain: <br />QAC Date <br />