2013-10-21_HYDROLOGY - M1994117

• Permit No: M1994117
• IBM Index Class Name: HYDROLOGY
• Doc Date: 10/21/2013
• Doc Name: Water Quality Data - 3rd Qtr 2013
• From: Gold Hill Mines, Inc
• To: DRMS
• Annual Report Year: 2013
• Report Quarter_Month: 3
• Email Name: TC1
• Media Type: D
• Archive: No

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ZLaboratories,
2773 Downhill Drive Steamboat Springs, CO 80487 [phone]
Name: p[.,d (411L mjx)AJ I /A.A Address: pQ
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E-mail: s Tele hone:
Copy of Report
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Invoice to:
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E-mail: Telephone: -
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If sample(s) received past holding time (HT), or If insufficient HT remains to complete
YES
analysis before expiration, shall ACZ proceed with requested short HT analyses?
NO
If "NO" then ACZ will 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 will be qualified
Are samples for SDWA Compliance Monitoring? Yes I I No
If yes, please include state forms. Results will be reported to PQL for
GR -.G Sampler's �,
Sampler's site Information State: f cv MDaip code Time Zone
Sampler's Name: GR-.Go•�
Check box if observe Daylight Savings Time
PROJECT•' •
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PO#:
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Reporting state for compliance testing: p
Check box if samples include NRC licensed material?
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Matrix SW (Surface Water) GW (Ground Water) WW (Waste Water) • DW (Drinking Water) • SL (Sludge) •
SO (Soil) • OL (Oil) • Other (Specify)
REMARKS
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Please refer to ACZ's terms 8t conditions located on the reverse side of this COC.
RELINQUISHEDDA
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FRMAD050.12.12.12 White - Return with sample. Yellow - Retain for your records.
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