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All <br />Laboratories, Inc. � �C� � G�CHAIN of <br />CUSTODY <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) 3345493 <br />Report <br />• 112 Village Square W Suite 205. <br />Name: Briana Greer Address: 9 q <br />Company: Solid Solution Geosciences LLC Ridgway CO, 81432 <br />E-mail: bdana@solidsolutiongeosciences.com Telephone: 307-760-8838 <br />Copy of Report to� <br />Name: Environmental E-mail: environmental@ouraysilvermines.com <br />Company: Ouray Silver Mines Inc. Telephone: 970-325-9830 <br />Name: aAshlee Briggs Address: PO BOX 564 <br />Company: Ouray Silver Mines Inc. Ouray, CO 81427 <br />E-mail: abdggs@ouraysilvermines.com Telephone: 970-325-9830 <br />If sample(s) received past holding time (HT), or if insufficient HT remains to complete <br />YES1 Q <br />analysis before expiration, shall ACZ proceed with requested short HT analyses? <br />NO <br />"NO"Wan AM aM cooked cUwt tar fwdm bRnt I If rW W —Mr nor "Mr . in6cabd. Aft N po, vAh IM rgwabG.nYyno , oven i MT in •npia$ .nA A.L MII Ee 0. .0 <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: _la TSS!�!. Sampler's Site Information state CO Zip Cod 81427 <br />Time Zone_ <br />/ •I arast toa nlaluatift and ve9ft ofWk wnpb. I uldroWMe MbblaMNy +t Mn "we or <br />W <br />'Sampler's Signature: &ZA�U <br />o alnp.rllswWW.u11w.lnarry..rx +�ad.ndranunw.nysbaLow . <br />PROJECT <br />Quote #: SPLP-Waste-Aggregate L S <br />m <br />PO#: 9 <br />c b <br />Reporting state for compliance testing: CO O � <br />Check box if samples include NRC licensed material? ❑ c <br />0c20z I 0 <br />n �.s � <br />50 <br />/ <br />91 <br />El❑ <br />El <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />0111 <br />❑ <br />❑ <br />❑ <br />01 <br />❑ <br />131 <br />❑ <br />0I <br />Ell <br />❑ <br />❑ <br />I ❑ <br />❑ <br />❑ <br />❑ <br />01 <br />❑ <br />❑ <br />❑ <br />113 <br />❑ <br />131131131 <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />131 <br />Ell <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />1 ❑ <br />I ❑ <br />❑ <br />Matrix SW (Surface Water) GW (Ground Water) • WW (Waste Water) DW (Drinking Water) SL (Sludge) SO (Soil) OL (OiQ Other (Specify) <br />t'41/ <br />f <br />/"l <br />r <•/�t rrv'a �iy l/S <br />Please refer to ACZ's terrns & conditions located on the reverse side of this COC. <br />REL1NQ_'_1!SHED BY. D• a C <br />DATE TIME <br />• u f 'I r:� . <br />White - Return with sample. Yellow - Retain for yoq0666rds. r-dye 40 UI 40 <br />