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• <br /> AZ Laboratories, Inc. Bottle Order <br /> 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 Packing LIS t <br /> Account: ARCADIS/ARCADIS Bill to Account: Bill to ACZ <br /> Bottle Order: BO34925 Ship Date Requested: 02/26/2016 <br /> Request Placed at: 02/25/2016 13:30 <br /> Service Requested: UPS Ground <br /> Sampling supplies <br /> PACK Qty ACZ ID .<. '. .Type. Description. 1-i-, <br /> 1 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 /> 12 LABELS Sample Labels ACZ supplied labels for sample containers <br /> ACZ Coolers <br /> PACK ';Qty =ACZ ID, 'Size '•,Weight "< ..UPS Tracking Number- - • <br /> 1 4401 Large 10 1Z8101300375085038 <br /> Quote number: ANNUAL-GW-2016 Holcim March 2016 Annual Groundwater Monitoring <br /> Sample Quantity: 3 ACZ is responsible for necessary sample filtering <br /> PACK•-• ;:Qty Type Size` : Filter/Raw/Preserve, Iristructions <br /> 1 GREEN 125 ML Filtered/Nitric Metals(dissolved except ICPMS)-This is a filtered 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 RED 250 ML Raw/Nitric Metals(total except ICPMS)-Do not overfill as there is Nitric Acid <br /> in the bottle. <br /> 1 WHITE 250 ML Filtered Wet chemistry(dissolved)-This is a filtered sample.Completely fill <br /> container. <br /> • <br /> Prepared By/Date: <br /> •d 1'1;1t.. • <br /> SW <br /> - %..rii' ,. ,-. ... <br /> . VA4++ • • . •• . .Yi;• :Page 1.of 2 <br /> L29748-1604131614 Page 14(414 <br />