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Laboratories, Inc. Lq 9 • ' <br /> 2773 Downhill Drive Steamboat Sprigs,CO 80487 (800)334-5493 <br /> Name: Mike Thompson Address: 18032 Road G <br /> Company: Reardon Steel LLC Cortez, CO 81321 <br /> E-mail: mt@reardonsteel.us Telephone: 970-426-2924 <br /> Copy of Report to: <br /> Name: Eli Doose [Eele <br /> -mail: eli@ammcindustries.com <br /> Company: Atlas Mining and Reclamation LLC phone- <br /> Invoice to: <br /> -mail: <br /> same as report to Address: <br /> Company: <br /> E-mail: Telephone. <br /> If sample(s)received past holding time(HT),or if insufficient HT remains to complete YES Q <br /> analysis before expiration,shall ACZ proceed with requested short HT analyses? NO rM <br /> If"NO"shoo ACZ VAll contact cloud for further Irrstructmn.If mAhw"YES"nor"NO"Is Indicated,ACZ will procaod wldr the rsgwated analysas,even k HT Is*spired,and data%All be qualifled <br /> Are samples for SDWA Compliance Monitoring? Yes No X <br /> If yes,please include state forms.Results will be reported to PQL for Colorado. <br /> Sampler's Name: n/a Sampler's Site Information state n/a Zip code n/a Time Zone n/a <br /> -I attest to the autbentklty ad wNdity of this sample.I understand that kdantlnnaW mblabehns the time/date/Ioratioa or <br /> *Sampler's Signature: n/a tampwhq with the sample In any%my,Is Wnsid kaad and punhhabls by state law. <br /> PROJECT •' • • ' <br /> quote# SO-ABA-SPLP-3050 �+ <br /> m <br /> PO#: c <br /> :4 rL <br /> Reporting state for compliance testing: p N <br /> U <br /> Check box if samples Include NRC licensed material? ❑ c <br /> � • tl it: <br /> ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ <br /> 20190116-01 SO 1 El ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ 01010 ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> © ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ 1:11 Ell 0101 ❑ ❑ ❑ <br /> Matrix ISW(Surface Water)•GW(Ground Water)-WW(Waste Water) DW(Drinking Water)-SL(Skdge) SO(Sol)-OL(Oil)•Other(Specify) <br /> -O <br /> O <br /> +C� <br /> O <br /> Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> RELINQUISHED BY: DATE:TIME RECEIVED BY: DATE:TIME <br /> A <br /> FRMAD050.06.14 14 White-Return with sample. Yellow-Retain for your records. <br /> L49574-1902071612 Page 28 of 28 <br />