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7 <br /> Araz Laboratories, Inc. • ' <br /> FFa <br /> wnhill Drrve Steamboat Spr7ngs, CO 80487 (800)334-5493 Address: ?5"1,�JZ1,#A IZ.,'S'i SW17E 6O(' <br /> n : SrAst_Nk N I~ O ii« Ilr-i�ArS fA;L-If R 5?�1dZ. C� Tele hone: :3 S 3 Jwp U <br /> . . <br /> Name: IIZ>r ' LEk,+ cI E-mail: o✓ /Ei,JyC�fi� . <br /> C m an : L,ad: • ► A5S oC++LTG Tele hon / <br /> Name: jZ C R' • Address: 1,6-1'71 LAaiefG2.5T 6W7-& zz) <br /> C mpany: 51"A•Z_ i O , p14 f i/ "ii -' ZvL- <br /> E- ail: A 6XI -� 50-'k1i 1-49-• C ed AA, Telephone: 0'3 .3 ( '.SU 6 <br /> If 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 /> N"NO"than ACZ vvII1 contact client for further Instruction If neither"YES"nor"NO"Is Indicated,ACZ will proceed with the requested analyses,even if HT is expired,and data WN be quallged <br /> Are samples for SDWA Compliance Monitoring? Yes No <br /> If yes,please include state forms.Results will be reported to PQL for Colorado. <br /> Sampler's Name: P/ 9"S Sampler's site Information State: Gt &V Zip code Time Zone I Ch r <br /> ck box if observe Dayti ht Savings Timer <br /> PROJECT •- • <br /> Quote#: <br /> POD#• c <br /> Reporting state for compliance testing: 0 <br /> 0 <br /> U <br /> Chock box if samples include NRC licensed material? c <br /> • e � xrk <br /> r:5!L <br /> sC �V ' � ' <br /> 45 <br /> VJAsE14V a Fk Po O <br /> i <br /> v <br /> C <br /> Matrix SW(Surface Water) GW(Ground Water) WW(Waste Water) DW(Drinking Water) SL(Sludge) SO(Soil) OL(Oil) Other(Specify) <br /> 4 REMARKS <br /> G t <br /> Tb; _1 0 j4 A) +E TX 0 f'i d-0 <br /> AI 5 <br /> _— p 11441 L -:r <br /> Please refer to ACZ's terms&conditions located on the reverse side of this COC., <br /> RELINQUISHEDBY: ra ra <br /> g`/ C9i <br /> L 297-1406020932 Page 31 of 32 <br />