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Laboratories, Inc. C �,O(� <br /> CHAIN of •D <br /> 2773 Downhill Drive Shsamboat Springs CO 80487 (800)334-5493 <br /> Name: Celeste Bethea Address: 333 W. Hampden Ave. Ste. 935 <br /> Company: Ensero Solutions Denver, CO 80110 <br /> E-mail: cbethea@ensero.com Telephone: 719-281-7594 <br /> Name: Minsley Stewart E-mail: astewart@ensero.Com <br /> 1company: Ensero Solutions Telephone: 306-978-3111 <br /> Name: Pauline Wong Address: 333 W. Hampden Ave. 935 <br /> Company: Ensero Solutions Denver, CO 80110 <br /> E-mail: ap@ensero.com Telephone: 778-404-1182 <br /> If sample(s)recelved 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 /> "IiC'u.n ACi au mane tllaat br arfWr inahuetlm.M aelsr•V�•nor•NO'b wwrare.ACZ r�pmrA with tln ngareeA anry.....vn M 1R r a:pka0,aM ae.vrM w quaY1W <br /> Am <br /> samples for SDWA Compliance Monitoring? Yes LM No <br /> If yes,please include state forms.Mett 11 be re rted to PQL for Colorado. <br /> mpler's Name:Tyler F. plats Site Information State CO zip code 80401 Time zone MTN <br /> •�aeeut m 1M Waall�r.aa raNq.d We wnpe.�mdastanA tNt 6aentlwwi�r Me tlma/drWbaafon or <br /> 'Samplers Signature: tewpwbg vift dw sampk Inaxp.,.rmwe..en.eaaeprAdMftwSkiftLm. <br /> PROJECT NF(DRMATIO'� <br /> Quote#: Ensero-2020 lA _ p <br /> Par. 3100-PO205 C <br /> a <br /> E s ^ <br /> ae testing: CO `� � ERe state for com c <br /> y �U <br /> Check box if samples include NRC licensed material? w o.=' A. $ N 9 a ~ <br /> 7enemSW <br /> Z C7 y <br /> AWD 2022NOV031200 SW 9 00 0 0 0 0 0 0BPL 2022NOV031400 SW 9 © ® 0 ® ® ® 0 <br /> © 0 0 <br /> ® ® 0 000 0 0 0 0 ® 00 0 0 0 0 0a 0 0 _ E31 0 0 0 0 <br /> 0 0 0 0 0 0 0 0 <br /> 0 131 0 0 0 <br /> 0 0 I� 0 1 0 0 <br /> Matra Sw(solace water) Gw( water) ww(nraste water) Dw(urine water) sL Isad•el SO(Sat) oL(Oil) OUier csaeciry) <br /> ,--_— Please email reports to importer@alexco.ehsdata.com <br /> t�— <br /> a Please refer to ACZ's terms&conditions located on the reverse side of this COC. <br /> FM <br /> M - 47 :z <br /> w IS <br /> 0 <br /> a <br /> _. FRMAD050.06.14.14 White-Returnwith sample. Yellow-Retain for your records. <br /> L77063-2301 1 01 51 5 Page 22 of 22 <br />