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ADZ Laboratories, Inc. <br />2773 Downhill Drive <br />Steamboat Springs, CO 80487 <br />SUBCONTRACTED WOR <br />GENERAL INFORMATION <br />WG#: WCC 3b%25 :: q - <br />Method: (J0L _1 - 1= RC1 �,22(Z <br />ACZ Sample ID's: t _2`t.C55ka <br />ANALYST REQUIREMENTS <br />IUGR®IJP REVIEW FORM <br />Lab: Q p -PA C c s, -n . -1)"x� -4 <br />A) Hold Times Met? <br />Yes <br />No ❑ <br />N/A ❑ <br />Not indicated on report ❑ <br />B) QC Criteria Valid? <br />Yes ❑ <br />No ❑ <br />N/A [� <br />Not indicated on report ❑ <br />C) Sample Dilution Factors appropriate? <br />Yes ❑ <br />No ❑ <br />N/A E3' <br />Not indicated on report ❑ <br />D) Date & Time of Analysis on Report? <br />Yes Z <br />No ❑ <br />N/A ❑ <br />Not indicated on report ❑. <br />E) MDLs and PQLs Listed on Report? <br />Yes ❑ <br />No ❑ <br />N/A Y <br />Not indicated on report ❑ <br />Comments: <br />Reviewer's Name <br />L24056-1505201031 <br />Signature <br />Soy" 1S <br />Date <br />FRMQA024.02.04.02 <br />Page 12 of 14 <br />