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ACZ Accredited <br /> 2773Downh�Drive CHAIN of CUSTODY <br /> R <br /> Environments' steamboat swims,Co 80487 <br /> IABQATORIES Tiding (970)8794590 ;`7 0 <br /> R.,port to <br /> Name:CJ Dickerson Address:1900 Main St Unit 1 <br /> Corny,Thorin Resources Ouray,Co 81427 <br /> E-mail:cjdickerson@thorinresources.com Tel hone:6027931321 <br /> Cory of Rcport to', <br /> Name: .E-mail: <br /> Com.. . Te,•. one: <br /> n,00ce to <br /> Name:CJ Dickerson I Address: <br /> Com,- . <br /> E-mail:cjdickerson@thorinresounces.cam <br /> Copy of Into <br /> Name: Address: <br /> Com. : <br /> E-mail: <br /> M samples)received put holding time(HT),or If insufficient HT remains to complete YES MI <br /> a before emigration,shell ACZ proceed with requested short HT analyses? NO _ <br /> O _ . . , ' <br /> samples for SDWA Compliance Monitoring? Yes <br /> No Q <br /> t8 <br /> byes,please Include state forms.Results will be reported to PQL for Colorado. <br /> • fa Name: CJ Dickersonr Samplers Sita information State CO Zip cods 81427 Tule Zone mata �...._ <br /> CJDIckareort�.r. 774 yw..wt ww regrow mw.n w..wwpemutoonertpo rii.by AYto rr+vranure.beeuo.> <br /> samplers Signature: rw.rv..nr..wI.N.w�.rw wr.ar,.a.wr.+r+.reraurL . <br /> Zi PROJECT INFORMATION <br /> . otep:SPLP/ABA <br /> CO <br /> SAMPLE IDENTIFICATION DATE TIME Marx < CO <br /> RV HGW Heads 3/4/2024 09:40 111111=151112 IIII <br /> - RV HOW Tails 3/4/2024 09:40 1111111111151151 1111111111111 ■■ <br /> CB Heads 3/4/2024 09:40 111111181111151 Q--■NI■MI <br /> Cs Tails 3/4/2024 09:40 11111[11111511p1111 N 1111 <br /> ■■■■■■■-■■ <br /> ■■��■■■■■■■■■■■ <br /> ■■■■■■■■■■ <br /> ■�■■Ell■■■■III■■-■ <br /> ��■��■--■■■■■■■■ <br /> ■�■■■■■■■■■■■■ <br /> Matrix SW(Surface Water) GW(Ground Water)•WW(Waste Water)•DW(Drinking Water)•SL(Sludge)-SO(Sot)•OL(Of)•Other(Specilr) <br /> REMARKS <br /> Please refer to ACTe terms&conditions located on the reverse side of this COG. <br /> REUNQUISHLD E3Y DATE TIME Rf".,E! FP i DATE.TIME <br /> CJ Dickerson :=1174=T:17., 3/7/2024 5:10.m 1111111111111 111M1i/111 <br /> Oualtrax ID: 1984 Revision Sr 2 White-Return with . Yellow-Retain for your records. <br /> L86570-2404031336 Page 38 of 38 <br />