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i <br /> i ' <br /> ACZ Laboratories, Inc. • <br /> 2773 Downhill Drive Steamboat Springs,CO 80487 (800)33 1 <br /> Name: Randy McClure Address: 625 USFS Road 504. 1A <br /> Company: Rio Grande Silver, Inc. Creede, CO 81130 <br /> E-mail: rmcclure@hecla-mining.com Telephone: 719-658-1080 <br /> Copy of Report to: <br /> Name: Janet Shangraw E-mail:jshangraw@comcast.net <br /> Company: JNS, Inc. Telephone: 303-972-8596 <br /> Invoice to: <br /> Name: Randy McClure Address: 625 USFS Road 504. 1A ,. <br /> Company: Rio Grande Silver, Inc. Creede, CO 81130 I ; <br /> E-mail: rmcclure@hecla-mining.com Telephone: 719-658-1080 ' l <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 /> f"NO"th.n ACZ will contact cll.nt far further instruction.If neither'YES"nor"NO"is indicated,ACZ will proceed w'dh the requested analyses,even If HT is expired,and dab will Im qualified <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:Wendy, egg Sampler's Site Information state CO Zip code 81 130 Time Zone mdt <br /> 9•tbst to the.uth—ti,ity and validity of this Semple.I understand that mislabeling the tMWdatellotellon,or tempering <br /> "Sampler's Signature: whh the svnpm In anyway,Is considored fraud end puni:Hama by State L­ <br /> PROJECT INFORMATIONREQUESTED <br /> Quote#: Rio Grande-GW-2015 to <br /> PC* BO-34028 c � <br /> W <br /> Reporting state for compliance testing: C n <br /> Check box if samples include NRC licensed material? c <br /> HW-2 C `�;SSr.� GW 7 0 <br /> GW-1 �7 � -�j_ 5 ss GW 7 <br /> DP-3 �1-cj 15 �; `fCI�L GW 0 <br /> DP-5 `._ ../5j I., GW 1 7 ® [3 n <br /> El El Q 017-3 0 El 0 <br /> +7 1 cl Ei ci Ei ® I n E] <br /> Matrix SW(Surface Water) GW(Ground Water)-WW(Waste Water) DW(Drinking Water) SL(Sludge)-SO(Soil) OL(Oil) Other(Specify) <br /> C <br /> ---r0 <br /> GW samples and any listed trip blanks should be included on one report.There may be more than one cooler for <br /> this COC.Please send an additional copy of the report to wieggitt@hecla-mining.com <br /> �n <br /> Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> � I <br /> I <br /> L26556-1510071448 Page 37 of 37 <br /> Ill <br />