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ACZ Laboratories, Inc. 5 <br /> 2773 Downhill Drive Steamboat Springs,CO W487 (800)334-5493 <br /> Account: ARCADIS/ARCADIS Bill to Account: Bill to ACZ <br /> Bottle Order: B0.31146 Ship Date Requested: 03/05/2014 <br /> Request Placed at: 03103/201414:48 <br /> Service Requested: UPS Ground <br /> Sampling supplies <br /> P <br /> 10 1. Oft. <br /> 2 COC Chain of Custody Chain of Custody, 1 for 10 samples. <br /> 2 SEAL Custody Seal Custody seals for cooler,two for each cooler. <br /> 1 RETURN Return Address Return Address label,one for each cooler. <br /> 14 LABELS Sample Labels ACZ supplied labels for sample containers <br /> ACZ Coolers <br /> ;.: <br /> u 1 3773 Large 10 1Z8101300300391061 <br /> Quote number: HOLCIM-SHORT-2014-G Holcim Site-Short List-2014 <br /> Sample Quantity: 4 ACZ is responsible for necessary sample filtering <br /> 1 GREEN 125 ML Filtered/Nitric Metals(dissolved except ICPMS)-This is a filitered sample. <br /> Completely fill container. <br /> 1 RAW 500 ML Raw Wet Chemistry(analyses that do not require preservative or <br /> filtration)-Completely fill container. <br /> 1 WHITE 250 ML Filtered Wet chemistry(dissolved)-This is a filitered sample.Completely <br /> fill container. <br /> Quote number: HOLCIM-T-FE-2014-GW Analysis of Total Iron-2014 <br /> Sample Quantity: 2 ACZ is responsible for necessary sample filtering <br /> 1 RED 250 ML Raw/Nitric Metals(total except ICPMS)-Do not overfill as there is Nitric Acid <br /> in the bottle. <br /> Prepared By/Date: <br /> sw <br /> Page 1 of 2 <br /> L17325-1404011556 Page 14 of 14 <br />