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0 <br />N <br />.y <br />�ro <br />�[D <br />(�&_7"q /--) <br />-_"�_. _ ,.:Laboratories, inc,,, <br />2773 Downhill Drive SteamboatMSpnrigffi,;CO;'80487 "(,800).334 <br />Name: <br />Com any: Star Mine Operations <br />E -mail: rory@slvrstar.com <br />Report rCopy of <br />e <br />Address: 1675 Larimer'St Suite 820 <br />Denver, CO 80202 <br />Telephone: 303 - 534 -6500 <br />• � <br />Name: Greg Lewicki ` " <br />Lewicki- and'Associates <br />Invoice to: <br />E -mail: greg @lewick.biz' <br />ele one: 303465,1Company: <br />Name: Rory Williams Address: 1675 Larimer-St Suite 820 <br />Company: Star Mine Operations Denver, CO 80202 <br />E -mail: rory@slvrstar.com Telephone: 303 - 534 -6500 <br />H sample(s) received past holding time (HT), or N insufficient HT remains to complete -- YES <br />analysis before expiration, shall ACZ proceed with requested short HT analyses? NO " <br />If •MW dun AU wed cordeet tltent for hodar Mntruglon., if netnrr •YES" ner -KW_1e tndkabd, ACZ wul Proceed wM the rpweted *rA"w• a It M is exptre4 and data wth E. queNned <br />Are samples for SDWA Co''mplisnce Monitoring? Yes No ` ". . <br />If yes, please include state forms. Results will be reported to PQL for Colorado. <br />_ <br />Sampler's Name: Pitta Sampler's site Information <br />Check box If observe Da light Sevin s Time X <br />PROJECT •• • <br />State: CO Zip code 81427 <br />Time Zone" <br />Quote #: <br />I^ <br />d <br />_ <br />0 <br />PO #: <br />Reporting state for co lance testing: <br />Check box if samples include ,•NRC"licensed,material ? - <br />SW -1 <br />02/1 <br />a <br />a <br />1 C <br />SW -2 <br />02/12/14 9:30am <br />SW <br />6 <br />C <br />re >✓ <br />r <br />SW -3 <br />02/12/14 9 45am" <br />SW <br />6 <br />SW -4 <br />02/12/14 10:00 arr <br />SW <br />6 <br />P • <br />T1` t <br />j._ <br />SW-5 <br />02/12/14 :10:,15am <br />SW <br />6, - <br />l-e <br />:.�Qe <br />� � <br />SW -6 <br />62/12/14 8.30arri <br />SW <br />6 <br />_ _ <br />l <br />, <br />ge <br />SW -7 <br />02/12/14 7. Dam <br />SW <br />6 <br />0 <br />V <br />t• r <br />Matrix SW (Surface Water) ",GW (Ground Water) • WW (Waste Water) DW (Drinking Water) • SL,(Slu'ge) • SO (Soil) OL (Oil) • Olher (Specdfy) <br />REMARKS <br />Please refer to ACZ's terms &,conditions located on the.reverse.side of.this.COC. <br />RELINQUISHED •A r : <br />rA <br />4. <br />ie <br />�tol <br />kS <br />FRMAD050.12.12.12 White - Return with sample. Yellow - Retain for your records. <br />L16817- 1402281027 Page 49 of 49 <br />