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Laboratories, Inc. (,�s�� • <br /> 2773 DownhiY Drive Steamboat Springs,Co 8M7 (800)334-5493 <br /> AUZ <br /> Name: Celeste Bethea Address: 333 W.Hampden Ave. Ste. 935 <br /> company: Ensero Solutions Denver, CO 80110 <br /> E-mai: cbethea@ensero.com Telephone: 719-281-7594 <br /> Name: Ainsley Stewart E-mad: astewart@ensero.com <br /> comps . Ensero Solutions Telephone: 306-978-3111 <br /> Name: Pauline Wong Address: 333 W. Hampden Ave.935 <br /> Corn : Ensero Solutions Denver, CO 80110 <br /> E-inal: ap@ensero.Com Telephone: 778-404-1182 <br /> If sample($)received past holding time(HT),or if Insufficient HT remains to complete YES <br /> analYSW tlefore expiration,shaU ACZ proceed with requested short HT analyses? NO <br /> W S- AM WM C=rxdN br*Alm ftsHucft L dw Of HT h s@Yt4�e must ataorwta <br /> Aresamples for sf>11YA Compliance Monitoring? Yes LM No <br /> f Ives,please include state forms.RAuft will be reported to PQL for Coloredo. <br /> samplers Name:JW,TF f sampiees site information state CO zip code 80401 Time zone MTN <br /> QQ��....��.... •IatYd belt sOrnYdgflltl vJfirydtp4 aniM-I It1�1lrOdtlld tiOMMwrIII�t�[Ut fiter�9/rttedm> <br /> fps`ignatu e..��• t.—bceMeMtanob b-M.W.4aMideradf-da Id PMMM.MSoft L... <br /> Quote s: Ensero-2020 <br /> po#: 3100-P0205 a y <br /> Reporti state for lance testing: C0 - S g <br /> Check box if samples include NRC licensed material? g 8 rn yid v, a�S <br /> O S tj �> $� E N N C9 <br /> ! l6� e(Y L E <br /> kn? �� 08 <br /> 7SW-BPL 9nrz2:1200 Sw 8 0 ® 0 0 © 0 O 13 <br /> 0 0 ® 0 0 0 0 0 <br /> 0 0 0 0 0 0 0 0 <br /> a 0 0 0 0 0 0 0 <br /> 0 © 0 0 0 © 0 0 <br /> 0 0 0 0 <br /> 010101 <br /> 0 131 0 0 a ® 1 0 0 <br /> 0 0 0 0 0 ® 1 0 0 <br /> 0 0 I 0 0 0 [31 0 0 <br /> [31 01 131 13 .-DI 01 0 0 <br /> Maft SW(Skrfece Water)-GW(Gf-M water) W W(Waste Water)-Dw(Wn kkV Water)-SL(Sludge)-SO(Sol)-OL(01)•oCier(spew <br /> Please email reports to importer@alexco.ehsdata.com. 8 TOTAL CONTAINERS ON THIS COC. <br /> S� AFL <br /> o Please refer to ACTs terms 8k condifions located on the reverse side of this COC. <br /> TIMEBY DATE Tlrv',E RECEIVED EA <br /> 7 <br /> �O <br /> C.c <br /> �t FRMAD050.0e.14.14 White-Return with sample. Yellow-Retain for your records. <br /> a= <br /> 1r5708-221 1 1 51 300 Page 22 of 22 <br />