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Laboratories, Inc. L"7oL4 •. <br /> 12'7A739ownhill Drive Steamboat Springs,CO 80487 (800)334-5493 <br /> Name: Christie Brizinski <br /> Address: 131 E. Lincoln Ave Ste.200 <br /> Company: Ensero Solutions Fort Collins,CO 80524 <br /> E-mail: cbrizinski@ensero.com Telephone: 867-668-6463, ext 229 <br /> Copy of Report <br /> Name: Evan Valencia I E-mail: ealencia@ensero.com <br /> com an : Ensero Solutions Telephone: 818-688-1839 <br /> Name: Pauline Wong Address: 131 E. Lincoln Ave Ste.200 <br /> com an : Ensero Solutions Fort Collins, CO 80524 <br /> E-mail: ap@ensero.Com Telephone: 778-404-1182 <br /> 1f sample(s)received past holding time(HT),or if insufficient HT remains to complete YES <br /> analysts before expiration,shall ACZ proceed with requested short HT analyses? NO <br /> '140'tl-a ACZ■111 Wad clWwd dar%rdw lnsbucus ifn.ww'YEr'i--W IS hMl.atrd,ACZ an P—W Wth"I-W-MW nrry--.,evil aHrb a0140.nd data We Ii q. <br /> Are samples for SDWA Compliance Monitoring? Yes Luj NO <br /> If yes,please Include state forms.Results will be reported to PQL for Colorado. <br /> sampler's Name: EVr NIL Safnpler's Site Information state CO Zip code 80401 Time zone MTN <br /> `Samplers Signature: `Z✓!//Y/ 'I coo 12-,u-&ft.a.ealwa.rur+.m k.lurwt.n.awet M.+r.e.xv0.tlm./a.t n.�tl.na <br /> bmP-.kj WthtMar.p4 ln.ny-q,1.-41fM t-ud and patY1-EN W rdt■to-. <br /> PROJECT" •- • <br /> Quote#: Ensero-2020 <br /> N <br /> Po#: 3100-P0205 c m ID <br /> Reporting state for compliance testing: CO a rn W a o <br /> m m S 3 <br /> Check box if samples include NRC licensed material?IDENTIFICATIONSAMPLE ❑ `o E E r] 0 <br /> S <br /> o MatriiiH � in U <br /> N SW BPL 12-8-2021: 10:10 SW 8 1 ❑ ❑ 01 © ® ❑ ❑ ❑ <br /> —.? SW-AM 12-8-2021: 12:00 SW 1 8 ❑ ❑ ® ❑ ❑ © ❑ ❑ <br /> ❑ ❑ 1 ❑ ❑ ❑ ® ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ 1 ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ 1 ❑ ❑ ❑ 1 ❑ © ❑ 1 ❑ <br /> ❑ ❑ 131 ❑ 1 ❑ ❑ 131 EC31 <br /> ❑ ❑ 01 ❑ ❑ ❑ ❑ ❑ <br /> ❑ I © 1 ❑ 1 ❑ 1 131 ❑ ❑ ❑ <br /> matrj. SW(Surface Water)-GW(Ground Water)•W W(Waste Water)•DW(Drinkrip Water) SL(Sludge) SO(Soi4•OL(011)•Osier(Spedy) <br /> REMARKS <br /> This COC accounts for 16 containers.Shipped 12/9/2021 <br /> Please also send reports to importer@alexco.ehsdata.com <br /> Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> RELINQUISHED DATE:TIME RECEIVED BY <br /> - el te►7ri`VI IZ q-21= /3-�Y I b h ID:SS <br /> FRMAD050.06.14.14 White-Return with sample. Yellow-Retain for your records. <br /> L70424-2201310853 Page 23 of 23 <br />