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AC Z <br /> Laboratories, Inc. L�SSZC,� • ' <br /> 2773 Down ill Drive Steamboat Springs,CO 80487 (800)334-5493 <br /> Name:Pa 1 Weber Address:Highway 91 -Fremont Pass <br /> Com an :Climax Molybdenum Company Climax, CO 80429 <br /> E-mail:pweber@fmi.com Telephone:719-486-7508 <br /> ReportCopy of <br /> Name:Elaine DuBois E-mail:edubois@fmi.com <br /> Com n :Climax Molybdenum Company Tele hone: <br /> Invoice to. <br /> I <br /> Name:Accounts Payable Address: <br /> Company:Freeport-McMoRan Copper&Gold <br /> E-mail:Freeport@bscs.basware.com Telephone: <br /> If sample(s)received past holding time(HT),or if Insufficient HT remains to complete YES X <br /> analysis before expiration,shall ACZ proceed wlth requested short HT analyses? NO <br /> If'NO'then ACZ will contact client for further Instruction.if rroltfwr-YES'not-NO-I.In dkst,d,ACZ will proceed with the requested analyse.,even If HT Is aspired,and data will be q-1111od <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: E. DuBois Sampler's site Information State:C0 Zip code80429 Time Zorl <br /> Check box if observe Daylight Savings Time X <br /> PROJECT •- • <br /> Quote#:CDPS-001M, CDPS-002 <br /> v N <br /> po#:ZH0000076W o 0 <br /> CD <br /> Reporting state for compliance testing: <br /> 0 07t � <br /> U 0- <br /> Check box if sam Ies include NRC licensed material? o ❑ U <br /> SAMPLE • 3t U <br /> Outfall 001A 0•? Z� -) SW 5 X <br /> Mayflower Decant U I ( !` SW X <br /> >r <br /> 0 <br /> 3 <br /> —0 <br /> c <br /> �r <br /> Matrix SW(Surface Water) GW(Ground Water) WW(Waste Water)•DW(Drinking Water) SL(Sludge)-SO(Soil)-OL(Oil)-Other(Specify) <br /> tto Field parameter Outfall 001 A composite <br /> emp: <br /> pH: !Please expedite results,one day turn around time! <br /> Conductivity: <br /> Please refer to s terTns&conditions located on the reverse SI e O t E CZTi <br /> RELINQUISHEDDA DA <br /> 2 _ 77L1 r 11,;ls <br /> FRMAD050.12.12.12 White-Retum with sample. Yellow-Retain for your records. <br /> L65529-2105031604 Page 12 of 12 <br />