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ADZ <br /> Laboratories, Inc. L 73 °/� • <br /> 2773 Downhill Drive Steamboat Springs,CO 80487 (800)334-5493 <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 ot Report to: <br /> Name: Nate Lambert E-mail: nlambert@ensero.com <br /> Compan : Ensero Solutions Telephone: 303-588-1649 <br /> Invoice to: <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 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? NO <br /> •Wo'don a¢rt•eonsct edod b furlMr b.msuan rrnarGw-rrs•rd.•aG•Is YMkata4 nci wlu weea.a'.rth do nq..ma.ww+..wn a M to aspired,and md.ar a grm.e <br /> Are <br /> samples for SDWA Compliance Monitoring? Yes LW No <br /> If yes,please Include atate forms.Results will be reported to PQL for Colorado. <br /> Sampler's Name:Nate L. Ooo, Samplatfs Site Information state CO Zip code 80401 rims Zone MTN <br /> atuu w the aWrathaVAnd whdayof this ompia.r wtlentana that 4ia.+bnatN adtlahafn[the WW"U/I—Gm a <br /> 'Sampler's Signature: e.m.etw.hhtae—Pk inem".r.e rdAndf—d mP�phri.a Ann Lat. <br /> PROJECT INFORMATION <br /> Quote# Ensero-2020 <br /> N <br /> Po#, 3100-PO205 d <br /> ReportingCO state for compliance testing: t N y a s <br /> V <br /> Check box if samples include NRC licensed material? ❑ a a p 0 s <br /> s • s rc to U E <br /> W AWD 20may2022 1218 SW 8 ❑ ❑ ® ❑ © ❑ ❑ ❑ <br /> SW <br /> S 7BPL 20may2022 1355 SW 8 ❑ ❑ ® ❑ © ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ IT <br /> ❑ 1 ❑ ❑ ❑ 1 ❑ ❑ ❑ 1 ❑ <br /> ❑ 1 ❑ ❑ ❑ 1 ❑ ❑ 1 ❑ ❑ <br /> ❑ ❑ 1 131 13 . ❑ 1 © 1 ❑ <br /> ❑ ❑ 1 ❑ 1 ❑ © ❑ 131 ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ 1 131 ❑ ® ❑ ❑ ❑ <br /> Matrix SW(Surface Water) GW(Ground Water)•W W(Waste Water)•DW(Dnnkiig Water) St-Sludge) SO(Solq-OIL(09)-Other(Specify) <br /> Shipped 5/23/2022 <br /> Please also send reports to importer@alexco.ehsdata.com and cbethea@ensero.com <br /> eo 'fit' f C/, Z <br /> o Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> .0 RELINQUISHED e •• s : s• <br /> (4 <br /> 7 <br /> i <br /> FRMAD050 06.14.14 White-Return with sample Yellow-Retain for your records <br /> �D <br /> �r <br /> �3416-2206301248 Page 23 of 23 <br />