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AUZ <br /> Laboratories, Inc. L l <br /> Ik <br /> 2773 Downhill Drive Steamboat Springs,CO 80487 (800)334-L (6 <br /> Name: Erik Munroe Address: P.O. BOXM1 191, 100 N.3rd St. <br /> Company. Cripple Creek& Victor Gold Mine Victor, CO 80860 <br /> E-mail: Erik.Munroe@newmont.com Telephone: 719-689-4156 <br /> Report1 Copy of <br /> - Name: Braden Hanna - - - e-maw. bhanna@itascadenver.com <br /> Company: Itasca Denver, Inc. Telephone: 970-420-7960 <br /> Invoice to� <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: 3D3-969-8033 <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 /> f NO't h.n ACZ will—t-1 dwnt(a t.mh.,ir,aUuclinn.It n.11har-YES'..,'NO"is ii tlfi .d,ACZ will p—d whh rM r.gwal.d arriy..a,.wn it HT is..pk.d.and Beta win ba qutllaed <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: Phi) Haverty Samplers Site Information State CO Zip code 80860 Time Zone MTN <br /> •i-1 to Ma..h,-Aiaity u,d wliditY otthb s.mge.I wdeOland Owl int.ntienany rn;:pee4n.t�eime/dare/waatinn w <br /> 'Sampler's Signature: samwrin Wlhth., pl.in.yw.y,i.aondd.,.dn.dand. habbbySixt.Uw. <br /> PROJECT •• • <br /> Quote#: CCV-PHASE-1 a <br /> Po#: CCV_4059-3 S g t <br /> -a = o <br /> Reporting state for compliance testing: c m m <br /> U � n <br /> Check box if samples include NRC licensed material? ❑ o a <br /> d <br /> • st M <br /> aQ <br /> AN 11/29/1711AM Rot;+ 2 M ❑ ❑ ❑ 0 ❑ [Q ❑ <br /> B7 11/29/1711AM Rct 1 x❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> PP4 11/29/1711AM Rot 1 [l ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ <br /> B18 11/29/1711AM Rot 1 (l ❑ ❑ ❑ ❑ ❑ © ❑ <br /> B14 11/29/1711AM Rot 2 [] ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> B15 11/29/1711AM Roq;q'a 1 M ❑ ❑ M ❑ ❑ ❑ ❑ <br /> B10 11/29/1711AM Roth 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> B12 1112911711AM Rot 2 ❑ ❑ ❑ ❑ © ❑ ❑ ❑ <br /> B2 11/29/1711AM Rot 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> 12 11/29/1711AM Rot 1 � ❑ [� ❑ ❑ [] ❑ ❑ <br /> Matrix SW(Surface Water) GW(Ground Water) WW(Waste Water)-DW(Drinking Water) SL(Sludge)-SO(Soil) OL(Oil)-Other(Specify) <br /> r <br /> .a <br /> Please hold extra sample material for potential Phase II testing. Samples will be selected for Phase 11 <br /> 3 based on Phase I results.ACZ Project Manager is Max Janicek. ACZ sales contact is Mike <br /> McDonough. <br /> 0 <br /> �s <br /> •�'•" Please refer to ACTS terms&conditions located on the reverse side of this COC. <br /> rt <br /> .: 11 / c. <br /> d. <br /> ..t <br /> 1 FRMAD050.06.14.14 White-Return with sample. Yellow-Retain for your records. <br /> L43419-1805031418 Page 30 of 47 <br />