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ACZ Laboratories, Inc. Bottle Order <br /> 2773 Downhill Drive Steamboat Springs,CO 80487 (800)334-5493 F ac king List <br /> Account: GOLDER/Golder Associates Bill to Account: Bill to ACZ <br /> Bottle Order: D038808 Ship Date Requested: 11/13/2017 <br /> Internal Note: Request Placed at: 111131201716:16 <br /> Service Requested: Denver Pick Up <br /> Sampling supplies <br /> PACK Qty ACZ ID Type Description <br /> 2 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 /> 30 LABELS Sample Labels ACZ supplied labels for sample contai lers <br /> Quote number: HOLCIM-GW Holcim Groundwater Monitoring <br /> Sample Quantity: 10 Client is responsible for necessary field filt;ring <br /> PACK Qty Type Size Filter/Raw/Preserve Instructions <br /> 1 GREEN 125 ML Filtered/Nitric Metals(dissolved except ICPMS)-Fi r 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 /> REPAD.04.06.05.01 Page 1 of 2 <br /> L41229-1712200847 Page 24 of 25 <br />