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Tv� <br />COTTER CORPORATION SAMPLE SUBMITTAL AND TRACKING FORM <br />Sample Submittal <br />C; P.O. Box 1750 S: RM On 1730 N: P.O. Box <br />Callon City, CO 81215 Cafion City, CO $1215 NVe1F4 M - <br />ftmOe LecJID NO. Lab. N-O-".K <br />Oft <br />Jr— f Erw ey e, a.,— <br />'A Pop I 730 Qft <br />2. <br />3. <br />4. <br />Date Data Entered <br />Data Entry By <br />Laboratory Destinatiew ffiotCOW. <br />1w Ze z <br />4,10pok Type: Air - Water [a S40 Other (specify): <br />- <br />ANOVAs - Tea series requested:, ;r4 <br />VW Haim -- PrwervatloR: g2 7. 00 <br />or <br />Ma aw&%vbv*qpired -by (ff not Holding Time): <br />conditions or ether instructions: <br />-Imp <br />, sUdating circumstances? If YES initial and explain below. <br />COIAMWITS - Explanation of noted item: <br />Check K additional attachments. <br />QA Review: <br />Sample Tam? YES NO If NO, explain: <br />QAC Date <br />