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0 <br />1 <br />rr, <br />0 <br />.a <br />�r <br />�V <br />�r <br />�w <br />�O <br />=f <br />Z 16 RAI <br />...Laboratories,. Inc. <br />• . <br />2773,Dowiihilt i7nVe . Sfeambtiat.Spprtgs,CO; 80487 (800), 334 -5493 <br />Name: <br />Address: 1675 Larimer St Suite -820 <br />Company: Star Mine Operations <br />Denver, CO 80202 <br />E -mail: rory@slvrstar.com <br />Telephone: 303 - 534 -6500 <br />Copy of Report'to: <br />Name: Greg Lewicki - : <br />E- snail: greg @lewicki.bii <br />Co an : Lewicki- and.Associates,:... ;Tele one: 303 -346 =5196 <br />Name: Rory Williams Address: 1675 Larimer St Suite 820 <br />Company: Star Mine Operations <br />Denver, CO 80202 <br />E -mail: rory@slvrstar.com <br />Telephone: 303 - 534 -6500 <br />H sample(s) received past holding time (HT), or if insufficient HT remains to complete YES <br />analysis before expiration, shall ACZ proceed with requested short HT analyses? NO <br />I "WEr then AU vM conbct dlwd for ha9wr Yr4ucYOn.:d Iwldwr' YES' nor -110" (* bukaud. AU wN <br />p"with dw np�W onaVsm own If HT Is eaphad, and dote vAM W quWflad <br />Are samples for SDWA Compliance Monitoring? <br />Yes No <br />H yes, please include state forms. Results will be reported to PQL for Colorado. - <br />Samplers-Name: Pitts Sampler's site Information State: CO_ Zlp code 81427] Time Zone <br />Check box If observe Da ii ht Savincis Time EX <br />PROJECT e' <br />Quote #: <br />. <br />PO #: <br />d <br />gcc <br />Reporting state for co lance testing: <br />O <br />Check box if samples include NRC licensed material? <br />FU7 02/12/14- 6.15am SW <br />6 _ S C-, <br />02/12/14 6 20am <br />SW <br />6 <br />UG -3 <br />02/12/14 6:40am <br />SW <br />6 <br />y ju <br />UAL <br />UG -4 <br />02/12/14 6:45am <br />SW <br />6. <br />Ad <br />UG -5 - <br />02/12/14 6:50am <br />SW <br />6 <br />Matrix. - SW (Surface Water) GW (Ground Water) • wW "aste Water) DW (Drinking Water] SL (Sludge) So (Boll) • OL (Oil) Other (Spat fy) <br />'. P_lease,refer to;ACZ'.s terms 8 conditions located on;the;reverseside of this,COC _ ;_ <br />RELINQUISHED BY: r• <br />s D• <br />FRMAD050.12.12.12 White - Return with sample. Yellow - Retain for your records. <br />L16818- 1402281029 Page 28 of 29 <br />