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COTTER CORPORATION SAMPLE SUBMITTAL AND TRAC <br />Sample <br />V1fv Ir n larill,16i, <br />4 - <br />Cotter Otf- to hoa <br />ad-Z i <br />Air wow Sell Oftr (spedry): <br />lysis Test series requested: <br />77 <br />Axim <br />S7 ea*7-2-16 <br />"d h <br />56 -.WOW <br />i roquired by (if mist *lding Time): <br />Has com"ous or otbar instrurflons! <br />QAC <br />) ind explain. below. <br />If NO, explain: <br />is <br />Lab. No.(s) <br />Date to <br />Data Entry By <br />4 <br />Laboratory Destination if mot t4w.- <br />Cotter Otf- to hoa <br />ad-Z i <br />Air wow Sell Oftr (spedry): <br />lysis Test series requested: <br />77 <br />Axim <br />S7 ea*7-2-16 <br />"d h <br />56 -.WOW <br />i roquired by (if mist *lding Time): <br />Has com"ous or otbar instrurflons! <br />QAC <br />) ind explain. below. <br />If NO, explain: <br />is <br />Air wow Sell Oftr (spedry): <br />lysis Test series requested: <br />77 <br />Axim <br />S7 ea*7-2-16 <br />"d h <br />56 -.WOW <br />i roquired by (if mist *lding Time): <br />Has com"ous or otbar instrurflons! <br />QAC <br />) ind explain. below. <br />If NO, explain: <br />is <br />