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2024-06-10_REVISION - M2012032
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2024-06-10_REVISION - M2012032
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Entry Properties
Last modified
6/11/2024 9:01:01 AM
Creation date
6/11/2024 8:58:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2012032
IBM Index Class Name
Revision
Doc Date
6/10/2024
Doc Name
Request for Technical Revision
From
Thorin Resources, LLC
To
DRMS
Type & Sequence
TR17
Email Name
LJW
THM
EL1
Media Type
D
Archive
No
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AC Z Accredited 2773 0ownhM Oche ) CHAIN o f CUSTODY <br /> Environmental Steamboat Springs80487 <br /> ,Co <br /> LABORATORIES Testing (970)8714590 ��• /7 <br /> V <br /> Rt.port to, <br /> Name:CJ Dickerson Address:1900 Main St Unit 1 <br /> Com u,k,Thorin Resources Ouray,Co 81427 <br /> E-mail:cjdickersonethorinresourc es.com Tel hone:6027931321 <br /> Copy of Report to <br /> amt: E-mail: <br /> Corn.. . Te one: <br /> n�ci etc <br /> Name:CJ Dickerson Address: <br /> Com.:,D. <br /> E-mail:cjdidcerson@thocinresourc es.corn T =• • e: <br /> Cope of In.oc,,to. <br /> Name: Address: <br /> Corna : <br /> T- :. one: <br /> 9 semple(s)received past holding time(HT),or N insufficient HT remains to complete YES Q <br /> s before expiration,shall ACZ proceed with requested short HT analyses? NO 11111111 <br /> O <br /> «a samples for SOWACompliance Monitoring? Yes 111111 No 0 <br /> Mara 2V yes,please include state fame Results will be reported to Ps..for Colorado. <br /> pier's Name: CI meson Samplers Site information Stab CO Zip code 81427 Time Zone insl <br /> 0 CJ dwrson�.:?�':: ., <br /> Dl +rrm1.• u•awn«nor.rwr.Irrrwrarr�« rY r .,Mr <br /> re. eewrer,.+.. <br /> "Samplers Signature: r+wrbe.a/oomph/army.r ewrl.,rr orad r radw+r by Sala taw. <br /> 05. PROJECT INFORMATION <br /> • pre K;SPLP/A6A <br /> 1.0 <br /> 111111 <br /> « ., box If samples ndude NRC licensed materiel? m <br /> SAMPLE IDENTIFICATION DATE TIME atfnx Q (/) <br /> RV HGW Heads 3/4/2024 09:40 11111011Q IN- 1111 <br /> RV HGW Tails 3/4/2024 09:40 -E111 ,�©- MI Ill 11111- <br /> CB Heads 3/4/2024 09:40 -0111 0 Q Ill III MI 1111111 III <br /> CB Tails 3/4/2024 09:40 -u WA 0 mu EN III III <br /> --MI III---MIMIIII <br /> ---MIMI III MI III MIMI <br /> 11111111111111 IM 1011 <br /> MI MIN III aMa <br /> ---MI III MI III MIMIIII <br /> Matrix SW(Surface Water)•GW(Ground Water) WW(Waste Water)•DW(Drinking Weber)-SL(Sludge)•SO(Sot)•OL(041•Other(Specify) <br /> REMARKS <br /> Please refer to ACTs terms&conditions located on the reverse side of this COC. <br /> RELINQUISHED 55 DATE TIME RECT.ETU I DATE TIME! <br /> CJ Dickerson �,.�°C or 317/2024 5:10 •m� ��'MEM <br /> Qualtrax ID. 1984 Revision 4: 2 White-Return with! . Yellow-Retain for your records. <br /> L86570-2404031336 Page 38 of 38 <br />
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