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ACZ Laboratories, Inc. <br /> 2773 Downhill Drive Steamboat Springs, CO 80487 (800)334-5493 e <br /> ' Account: ARCADIS/ARCADIS Bill to Account: Bill to ACZ <br /> Bottle Order: B041736 Ship Date Requested: 03/01/2019 <br /> Request Placed at: 02/28/201914:54 <br /> 1 Service Requested: UPS Ground <br /> ' Sampling supplies <br /> PACK Qty ACZ ID Type Description <br /> ' 1 CDC 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 /> 16 LABELS Sample Labels ACZ supplied labels for sample containers <br /> ACZ Coolers <br /> PACK Qty ACZ ID Size Weight UPS Tracking Number <br /> 1 4752 Large 10 lZ8101300317236617 <br /> Quote number: ANNUAL-GW-2019 Holcim 2019 Annual Groundwater Monitoring <br /> Sample Quantity: 4 ACZ is responsible for necessary sample filtering <br /> PACK City Type Size Filter/Raw/Preserve Instructions <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 /> I� 1 WHITE 250 ML Filtered Wet chemistry(dissolved)-This is a filtered sample.Completely fill <br /> ' container. <br /> ' Prepared By/Date: <br /> sw <br /> ' Page 1 of 2 <br /> ' L50666-1904021417 Page 14 of 14 <br />