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ADZ <br /> Laboratories, Inc. � • <br /> 2773 Downhdj Dfim Steamboat SOW,CO 80487(8W)334-;Address;: 1 <br /> Name.. Christie Brizinski 31 E.Lincoln Ave Ste.200 <br /> Compaw. Ensero Solutions Fort Collins,CO 80524 <br /> E-rlmaii: cbrizinski@ensero.com Tel e: 867-668-6463,ext 229 <br /> Name: Evan Valencia E-mail: evalencia@ensero.com <br /> tom rl : Ensero Solutions Telephone: 818-688-1839 <br /> Name: Pauline Wong Address: 131 E. Lincoln Ave Ste.200 <br /> Com : Ensero Solutions Fort Collins,CO 80524 <br /> E-mail; ap@ensero.com Telephone: 778-404-1182 <br /> If sample(s)received past holding tams(HT),or if Insuftlent MT remains to complete YES <br /> analysis before expiration,shall ACZ proceed with requested short HT analyses? NO <br /> -aweiw�a.u.rihrelk.trorrwwkrb an.wur-rp-eer7q"r4tl.r.anczwn«s.0.ads.npese.Wr..a-itWr ft. <br /> pna.raaw.xrarwa <br /> No samples for sDWA Compliance monuoring? YesL-M No <br /> M yes,please Include state forts.Results WIN be reported to POL for Colorado. <br /> samplers Name: EV samplers sue Information state CO zip cods 80401 Time Zone MTN <br /> /� `l Garr O.aM ftftU kMYMd wOs�rrak, Vl&iw rmW e.�pM.u..ti.Yhl u.tl.yMyflootl.ns <br /> Samplers signature:_1�..r 7 �' urp,u,tree..wkr�ww.ke..iw.rb.rrr..I++kWmra.. <br /> PROJECT INFORMATION <br /> Quote a: Ensero-2020 N <br /> Pon: 3100-PO205 c m m ca <br /> Reporting state for compliance testing: CO c 0) H a <br /> V N a� <br /> Check box if samples include NRC licensed material? E E <br /> C9 <br /> at H � 0U ° <br /> SW-BPL 9-15-2021:9:25 SW 8 D D Mx D D 13 <br /> D D D D D ® 113 <br /> 0 © � D © © D <br /> C7 � D 0 © O <br /> D D © 13 D DD <br /> 0 0 0 © D © D <br /> D ® D © © ® <br /> D © D © © © D <br /> ❑ D D © © D ❑ <br /> ❑ D © D ❑ o <br /> matrix Isw(surraos wave)•GW(Ground water)•Ww(waste water)•Dw(DrMN We*)-SL(Skxkp)•SO(ear)•a(oa)•otter(sp•oN) <br /> This COC accounts for 8 of the 12 containers in this cooler.Shipped 9/16/2021 <br /> Please also send reports to importer@alexco.ehsdata.com <br /> v <br /> o Please refer to ACZs terms&conditions located on the reverse side of this COC. <br /> 3 - DATE TIMF <br /> �o <br /> c <br /> tom... <br /> FRMAD050.06.14.14 White-Return with sample. Yellow-Retain for your records. <br /> _ 577-21 11161058 Page 21 of 21 <br />