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ADZ <br /> Laboratories, Inc. _71 51 j11N <br /> 2773 DownhNl Drive Steamboat Springs,CO 80487 (800)334-5403 <br /> Name: Christie Brizinski 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 to <br /> Name: Evan Valencia E-mail: ealencia@ensero.com <br /> Compan : Ensero Solutions Telephone: 818-688-1839 <br /> Name: Pauline Wong Address: 131 E. Lincoln Ave Ste.200 <br /> Company: Ensero Solutions Fort Collins, CO 80524 <br /> E-mail: ap@ensero.com Telephone: 778-404-1182 <br /> If samples)received past holding time(HT),or If Insuflicient HT remains to complete YES <br /> analysis before expiration,shall ACZ proceed with requested short HT analyses? NO <br /> •ra•s.e¢wnooneudwetrmmwrinsbuNan inn.rent•rEs•ro.-ao•rinaie.ba.�czwMproo.awma»rw�raarr«..v.rcrtusRMna.namwxe.w+nea <br /> Are samples for SDWA Compliance Monitoring? Yes LJjJ No <br /> If yes,please include state forms.Results will be reported to POL for Colorado. <br /> Sampler's Name: EV,TF Sampler's Site Information state CO Zip code 80401 Time zone MTN <br /> *Sampler's Signature:.al !/(ly''� <br /> biyw4irrinhManipb N�.b ap.rd.nOfiW.n0�uWr6b bY>Vtr lar. <br /> PROJECT INFa- <br /> Ouote o. Ensero-2020 <br /> Po#: 31 00-P0205 S m m <br /> Reporting state for compliance testing: CO y w rs a <br /> o d m 5 s <br /> Check box It samples include NRC licensed material? ❑ C 0 (7 m <br /> 2 <br /> a11211111111 # Fes- rn W U J 1 <br /> SW BPL 2-18-2022: 11:00 SW 8 © ❑ 0 ❑ ❑ ® ❑ ❑ <br /> SW AWD 2-18-2022: 11:30 SW 8 © ❑ ® ❑ ❑ ❑ ❑ ❑ <br /> ❑ 1 131 ❑ ❑ 1 13 © ❑ <br /> ❑ ❑ 1 131 ❑ © 1 13 131 E3 <br /> ❑ 1 © 1 131 ❑ ❑ I ❑ ❑ <br /> 1311 © 1 ❑ 131 ❑ 1 13 <br /> ❑ 11 131 ❑ ❑ 1 © 1 ❑ ❑ <br /> ❑ ❑ 1 ❑ 1 © 010 1 ❑ ❑ <br /> ❑ ❑ ❑ ❑ � � 13 ❑ <br /> ❑ 0 0 E ® 1 © 1 ❑ ❑ <br /> MaU6c SW(surface water)•GW(Ground water)•W W(Waste water)•DW(Drinking Water) SL(Sludge)-SO(Soin OI.(Oi)•Other(Sped►y) <br /> REMARKS <br /> This COC accounts for 16 containers. Shipped 2/21/2022 <br /> Please also send reports to importer@alexco.ehsdata.com <br /> 0 <br /> Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> �7 REUNQUISHED DATEJIMERECEIVED <br /> ===U E, fir► vt z I/z2: :a� Z1r>i <br /> c <br /> FRMAD050.06.14.14 White-Retum with sample. Yellow-Retain for your records <br /> WE <br /> �1577-2204201449 Page 22 of 22 <br />