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AIUZ <br /> Laboratories, Inc. K <br /> =�wnhille Steamboat Springs,CO 80487 (800)33 - 4493 <br /> nroe Address: P.O. BPxnn, N.3rd 1ctt <br /> Company: Cripple Creek& Victor Gold Mine Victor, CO 80860 <br /> E-mail: Erik.Munroe@newmont.com Telephone: 719-689-4156 <br /> Copy of Report to: <br /> Name: Braden Hanna - - - - E-mail: bhanna@itascadenver.com <br /> Company: Itasca Denver, Inc. Telephone: 970-420-7960 <br /> Name: Liz Swaim Address: 143 Union Blvd. Ste 525 <br /> Company: Itasca Denver, Inc. Lakewood, CO 80228 <br /> E-mail: ISWaim@itascadenver.com Telephone: 303-969-8033 <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 <br /> 1'N0-IMn ACZ will contact cli.nl iw torth.r imtruclien.If rwllh.r-YES"—"NO-ill i,biul.d,ACZ w;N proved whh th r.qu —i—,. d HT is.iw,d,and tl.l,wlll bs q-11li.d <br /> Are samples for SDWA Compliance Monitoring? Yes No Q <br /> If yes,please include state forms.Results will be reported to PQL for Colorado. <br /> Sampler's Name: Phil HaverD Sampler's site Information State CO Zip code 80860 Time Zone MTN <br /> •1.ne11 to the svlherRicity and r.lidily pf ihi•sample.l uMenla,N'I.'InteMiona Ay rnisbGlinr the firm/dal./lotation br <br /> `Sampler's Signature: tanPeri wththe,rnpeinanywby,N<ome.telnm.na"t"wbyStneuw, <br /> PROJECT • • <br /> Duote#: CCV-PHASE-1 <br /> poi: CCV 4059-3 F It <br /> Reporting state for compliance testing: o v <br /> Check box 9 samples include NRC licensed material? ❑ c a $ <br /> SAMPLE • • a• # a U <br /> AP4 11/29/17 11 AM Rot 2 Z ❑ ❑ ❑ ❑ 11 El El <br /> 137 11/29/1711AM Rot 1 x❑ ❑ ❑ 0 ❑ ❑ ❑ <br /> PP4 11/29/1711AM Rot 1 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> B18 11/29/1711AM Rot 1 ❑ ❑ © ❑ ❑ ❑ ❑ <br /> B14 11/29/1711AM Rot 2 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> B15 11/29/1711AM Rot 1 0 ❑ ❑ [] ❑ ❑ © ❑ <br /> B 10 11/29/17 11 AM Rot 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> B12 11129/1711AM Rot 2 ❑to <br /> ❑ ❑ ❑B2 11/29/1711AM Roq+� 1p El ❑ ❑ ❑12 11/29/1711AM Roq+� 1 [ ❑ ❑ ❑ ❑ ❑ ❑ <br /> mavix sw(Surface Water) GW(Ground Water) WW(Waste Water).DW(Drinking Water),SL(Sludge) SO(Soil) OL(Oil)•Other(Specify) <br /> O <br /> Please hold extra sample material for potential Phase II testing. Samples will be selected for Phase II <br /> based on Phase I results. ACZ Project Manager is Max Janicek. ACZ sales contact is Mike <br /> �4 McDonough. <br /> zzz o <br /> C <br /> S Please refer to ACZ's terms&conditions located on the reverse side of this CDC. <br /> II a C a • a <br /> (. �ZM <br /> `-a <br /> FRMAD050.06.14.14 White-Return with sample. Yellow-Retain for your records. <br /> L43424-1805031420 Page 30 of 47 <br />