Laserfiche WebLink
ACZ Laboratories, Inc. • <br /> 1 <br /> ?773 Downhill Dave Sleam4oat Spnr.,s,CO 80437 (800)334- t <br /> Name: Randy McClure Address: 625 USFS Road 504. 1A <br /> company: Rio Grande Silver, Inc. Creede, CO 81130 <br /> E-mail: rmcciure@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 /> Name: Randy McClure Address: 625 USFS Road 504. 1A <br /> Company: Rio Grande Silver, Inc. Creede, CO 81130 <br /> E-mail: rmcclure@hecia-mining.com Telephone: 719-658-1080 <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"than ACZ will contact.16.fw fwth.r Nutr d,—It millwr-YE]'—-NO'la hd—d.ACZ will p—aW with th.nq—l"a,,.lyya,,v,n N HT 1.,.pk"and data will a q-i Md <br /> Are samples for SDWA Compliance Monitoring? YesLJW No <br /> If yes.please Include state forms.Results will be reported to PQL for Colorado. <br /> Sampler's Name:Wendy Legg Sampler's Site Information State CO yip code 81 130 Time Zone mdt <br /> I.MY t.gr.-l'w-6 ily and,wldy&mi.—Pl..1 ondantand dut mtalanNing tha fimrmt.IbcsOon,w—Md.g <br /> 'Sampler's Signature: with t1t,umpl,In W"My,is eprwld wt NaW and plawahaW,by State Law, <br /> PROJECT •' • , <br /> ouote#: Mod-Extended-SW 2015 g, <br /> pp#; BO-34028 c <br /> v <br /> Reporting state for compliance testing: c <br /> Check box if samples include NRC licensed material? ❑ <br /> ❑ ❑ ❑ D ❑ ❑ ❑ <br /> ❑ D ❑ ❑ D D ❑ ❑ <br /> W-Flume n-;'/S :C1�'��, SW 9 a/ D ❑ ❑ <br /> W-B-Alt /44 5 SW 9 ❑ ❑ ❑ ❑ ❑ 1 D <br /> MC-2 �—� "��n� SW 9 ❑' ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> D ❑ ❑ ❑ ❑ ❑ ❑ D <br /> (Mercury using 1631 ❑ D ❑ D ❑ ❑ D D !' <br /> samples not filtered or ❑ ❑ ❑ ❑ D D D D <br /> preserved) ID D Ell Ell Ell Ell 01 ❑ <br /> Matr-A SIN(Surface Water)-GW(Ground Water)-WIN(Waste'Plater) EIN(Drinking Water) SL(Sludge) SO(Soil)-OL(Oil)-Other(Specify) <br /> ° W-I,W-J,W-Flume,W-B-Alt, MC-2, Field Equip Blank and any listed Trip blanks <br /> should be listed on one report. There may be more than one cooler for this COC. <br /> sPlease send an additional copy of the report to wleggitt@hecia-mining.com <br /> j <br /> ~� Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> RELINQUISHED BY: DATE:1711141E RECEIVED <br /> BY: DATIE:TIME <br /> FRMAD050.03.14.13 White-P.etum with sample. Yellow-Retain for your retards. <br /> tl <br /> L26557-1510011525 t. Page 48 of 48 <br />