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ACZ Laboratories, Inc. r <br /> 2773 Downhill Drive Steamboat Sprigs, CO 80487 (800)334-5493 <br /> Account: GOLDER/Golder Associates Bill to Account: Bill to ACZ <br /> Bottle Order: B037515 Ship Date Requested: 05/11/2017 <br /> Request Placed at: 05/10/2017 08:45 <br /> Service Requested: UPS Ground <br /> 1 <br /> Sampling supplies <br /> 72 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 /> 2 RETURN Return Address Return Address label, one for each cooler. <br /> 30 LABELS Sample Labels ACZ supplied labels for sample containers <br /> ' ACZ Coolers <br /> 1 4769 Large 12 1ZB101300375141833 <br /> Quote number: HOLCIM-GW Holcim Groundwater Monitoring <br /> Sample Quantity: 10 Client is responsible for necessary field filtering <br /> 1 GREEN 125 ML Filtered/Nitric Metals(dissolved except ICPMS)-Filter sample with.45 micron <br /> filter.Do not overfill as there is Nitric Acid in the bottle. <br /> 1 RAW 500 ML Raw Wet Chemistry(analyses that do not require preservative or <br /> filtration)-Completely fill container <br /> 1 WHITE 250 ML Filtered Wet chemistry(dissolved)-Filter sample with 45 micron filter. <br /> Completely fill container <br /> ' Prepared By/Date ' <br /> sh <br /> Page 1 of 2 <br /> L37566-1706221642 F :;C Pa 2,3 o1.23- <br />