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VN <br /> J l" S. <br /> 11 Cam, <br /> Laboratories, Inc. di d • • • <br /> ;2773wnhill Drive Steamboat Springs,CO 80487 (800)334-5493 Ashlee Briggs Address: PO BOX 564 <br /> Company Ouray Silver Mines Inc. Ouray,CO 81427 <br /> E-mail: Environmental@ouraysilvermines com Telephone: 970-325-9830 <br /> Copy of Report <br /> Name. Briana Greer E-mail: briana@solidsolutiongeosaences.com <br /> Company. Solid Solution Geosciences Telephone 307-760-8838 <br /> Invoice •Name: Jennifer Smith Address: PO BOX 564 <br /> Company Ouray Silver Mines Inc. Ouray,CO 81427 <br /> E-mail. jsmith@ourayslivermines.com Telephone- 970-325-9830 <br /> If samples)received past holding time(HT),or if insufficient HT remains to complete YES I X❑ <br /> analysis before expiration,shall ACZ proceed with requested short HT analyses? NO FM <br /> If"NO'than ACZ wIM oontaot dlerd for fuller loUructim.If neither'YES'nor"NO-is indicated,AR will p—ed Will tiro requested a alysss,al,en It Nr is aspired,and data will be qualified <br /> Are samples for SDWA Compliance Monitoring? YesUL No El I <br /> If yes,please include state forms.Results will be reported to PQL for Colorado. <br /> Sampler's Name: Bill Coughlin Sampler Site Information State CO Zip code 81427 Time Zone Mtn <br /> al atfeat ro theidr w,.,n autlrontrty and,aldigd this farnpla.I undarsbad thrt adentionally ndslahel,n[tha hme/dateAoltadon or <br /> Samplers Signature: ,rKwplo h snwW,h aomidar.d fra d and wradhaW by Slada,— I <br /> PROJECT INFORMATION <br /> Quote# GW <br /> Po# P0#153178 = c <br /> Reporting state for compliance testing CO c <br /> CC--11 <br /> Check box If samples Include NRC licensed matenal') 13 00 3 <br /> a • �• at � <br /> GW-3R GW 5 ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> GW-2A GW 5 ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> GW-2B GW 5 ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ <br /> ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> 131131 ❑ ❑ E31 ❑ 1 ❑ ❑ <br /> r <br /> O Matrix SW(Slsface Water) GW(Ground Water) WW(Waste Water)-DW(Drinking Water) SL(Sludge) SO(Sol L) O (01) Other(Specify) <br /> N <br /> REMARKS <br /> 1^ � E �t�ri `1�s � QU��i�-r�M r�• L�yv� <br /> Please refer to A s terms&conditions located on the reverse side of this COC. <br /> w�yRELINQUISHED BY: a• • DATE TIME <br /> r <br /> Ila <br /> FRM(AD0,50 06 14 14 White-Return with sample Yellow-Retain for your records <br /> L43205-1803231004 age 22 of 22 i <br />