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Laboratories, Inc.L 6 (� HI • , <br /> 2773 Downhill Drive Steamboat Springs,CO 80487 (800)334-5493 <br /> Name: Todd Jesse Address: 1900 Main St Unit 1 <br /> Company: Oura Silver Mines Inc Oura if, CO 81427 <br /> E-mail: environmental@ouraysilvermines.com Telephone: 970 3325-7241 ext 1018 <br /> .. . <br /> Name: Briana Greer �E-maii:�rian�a@�sollidso�olutiong�eoscien�nces.co�mcompany: Solid Solution Geosciences ele <br /> Invoice to: <br /> Name: Ashlee Briggs <br /> Address: PO Box 564 <br /> Company: Ou*ay Silver Mines Ouray, CO 81427 <br /> E-mail: payable@ouraysilvermines.com Telephone: <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? <br /> NO LMf"NO"then ACZ will contact client for further instruction.If neither"YES"nor"NO"is Indicated.ACZ will proceed with the requested analyses,even if HT is expired,and data will I.qualified <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: Todd Jess , Sampler's Site Information State CO Zip81427 <br /> code Time Zone MNT <br /> *Sampler's Signature. `I attest tothe authenticity and validity of this sample.I understand that intentionally mislabeling the time/dare/location <br /> tampering with the sample in anyway,is considered fraud and punishable by State law. of <br /> • <br /> Quote#: SPLP <br /> c <br /> Reporting state for compliance testing: - c <br /> 0 <br /> Check a <br /> box if samples include NRC licensed material? U <br /> O <br /> ' fill a <br /> rn <br /> cwr 20210823 8/23/2021:1500 SO 1 X ® 0 <br /> 0 0 13 E <br /> 0 <br /> 0 <br /> n �073 <br /> M 0 <br /> El 11 El 0 <br /> 0 I 0 <br /> Matrix SW(Surface Water) GW(Ground Water) WW(Waste Water) DW(Drinking Water) SL(Sludge) SO(Soil) OL(Oil)-Other(Specify) <br /> REMARKS <br /> O <br /> era <br /> �---4- <br /> O <br /> �s <br /> e Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> o SI(aris � S <br /> FRMAD050.06.14.14 White-Return with sample. Yellow-Retain for your records. <br /> L68141-2109301047 Page 23 of 23 <br />