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Laboratories, Inc. �? �>j 5 • <br /> 2773 Downhill Drive Steamboat Springs Co W487 (800)334 5d93 <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•Ainsle Stewart <br /> y E-mail: aStewaftLenSe[O.COm <br /> Compan : 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-maii: ap@ensero.com Telephone: 778-404-1182 <br /> ff 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 /> ff 7IW win AM vM oonMd dkM for faear ln@&ucd a.H fAK"w"Mr aor W is ndkasd,AM ails Ma„aad wm e-ngwwd.ndpr,wan M Hr is axpkw,and lot.wN b qudMMd <br /> Are samples for SDWA Compliance Monitoring? Yes = No LM <br /> H yes,please include state f u will be reported to PQL for Colorado. <br /> Sampler's Name:Tyler F. piers Site Information State CO Zip code 80401 Time Zone MTN <br /> Sam plats Signature: '1~to w rAdwabdq and n5ft of tkr saupa.l awww„d Oft ktonftaNy addd w tlayaaM/bptlon or <br /> wpwin we,w saapw In a.rrM,Is aaadde-a fraM and pwddWk by stow law. <br /> PROJECT <br /> Quote t. Ensero-2020 Le <br /> Pore: 3100-PO205 c g o <br /> _ - Re rig state for compliance testing CO <br /> o fq m Vl m a '• 2 m <br /> Check box if samples include NRC licensed material? ® •s a fin <br /> f _ <br /> ymullein <br /> Z tn0 Fly Fly J <br /> W AWD 2022DEC07_1100 SW 8 ® ® ❑ ❑ ❑ ❑ ❑ <br /> SW BPL 2022DEC07_1200 SW 8 © ® ❑ ❑ ❑ ❑ ❑ <br /> S ❑ <br /> ❑ 1 ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ <br /> ❑ ❑ 1 ❑ ❑ 131 ❑ 131 ❑ <br /> �.y <br /> ❑ ❑ 01 ❑ ❑ ❑ ❑ <br /> ❑ ® © 1-31 ❑ ❑ ❑ ❑ <br /> M.ft Sw(Surface water) Gw(Ground water)•wW(Wastewater)•Dw(Drinking water)•SL(Sbdge)-SO(Sa)•oL(Oil)-Other(Specify) <br /> REMARKS <br /> Please email reports to importerc@alexco.ehsdata.com <br /> Please refer to ACTs terms&conditions located on the reverse side of this COC. <br /> RELINQUISHED BY DATE�TIME RECEIVED BY DATE�TIME <br /> Tyler Fasenm er 12/07/22 15:00 1 3 5C <br /> FRMAD050.06.14.14 White-Return with sample. Yellow-Retain for your records. <br /> L77595-2301171408 Page 23 of 23 <br />