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Laboratories, Inc. L5Q <br /> ADZ R,, <br /> 2773 Downhill Drive Steamboat Springs,CO 80487 (800)334-5493 <br /> Name: Nate Lambert Address: 1700 Fremont d. 143 <br /> Company: Alexco Water& Environment Canon City, CO 81212 <br /> E-mail: nlambert@alexcoresource.com Telephone: 303-588-1649 <br /> .. . <br /> Name: Jon Webb E-mail:jwebb@alexcoenv.com <br /> Company: Alexco Water& Environment Telephone: 303-596-3250 <br /> 'Invoice to: <br /> Name: Lori Simpson Address: 171 N. College Ave <br /> Company: Alexco Water& Environment Fort Collins, CO 80524 <br /> E-mail: accountingus@alexcoenv.com Telephone: 970-632-2242 <br /> If sample(s)received past holding time(HT),or If Insufficient HT remains to complete YES <br /> analysis before expiration,shall ACZ proceed with requested short HT analyses? NO <br /> It'NW then ACZ vAu contact client for further Instruction.If neither"YES'nor"NO'Is Indlcaed,ACZ rdll proceed vAth the requested analyses,even If Kris expired,and data atlI be quall/kd <br /> Are samples for SDWA Compliance Monitoring? YesLill No 101 <br /> If yes,please include state forms.Results will be reported to PQL for Colorado. <br /> Samplers Name: Jon Webb Sampler's Site Information State CO Zip code 80401 Time Zone MTN <br /> •I ateet to the.—nticny.rrdr di o/thin sampe.I—a-tand—Intentionally miriabelin`the fire/date/location or <br /> *Sampler's Signature: ernparinatrain the-.wi.M.nywy,iscrosdeedtnud and p..W blebyset.I—,. <br /> PROJECT •- • e(attach list or q—te no hber) <br /> Quote#: Alexco-2019 L # <br /> PO#: _ (D m <br /> is n M <br /> Reporting state for compliance testing: CO p y N a <br /> U CD d <br /> n <br /> Check box if samples include NRC licensed material? ❑ c � 1c) C7 <br /> 7DIS0101A <br /> rn (a c,s O = E <br /> U) (A U J (0 3/19/19:1400 WW 2 ® ❑ 0 ❑ ❑ ❑ ❑ ❑01A 3/20/19:1400 WW 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑01A 3/21/19:1400 WW 1 ❑ ❑ ❑ ❑ 11 . 11 ❑ ❑ <br /> SW-BPL 3/21/19:1100 SW 8 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ 1 ❑ ❑ 01 ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> .0i Matrix SW(Surface Water)-GW(Ground Water) WW(Waste Water)•DW(Drinking Water)-SL(Sludge)•SO(Soil)•OL(04)-Other(Specify) <br /> to <br /> 3 <br /> a�r.e <br /> o Field Parameters in same order as above: <br /> = 3/19: pH =6.75 <br /> 3/20: pH = 6.80 <br /> �.rr 3/21: pH = 7.93 <br /> �—� **12 BOTTLES TOTAL** <br /> Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> FRMAD050.06.14.14 White-Return with sample. Yellow-Retain for your records. <br /> L50713-1904081604 Page 24 of 24 <br />