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<br /> SGS N®rth /~tr~erica Inc 02979 East Center SUeet Conneaut, DH 44939 Tel: (449, 224-226, Faz: (440),224-2808 <br /> . <br />- O 7101 HowaN Drive Deer Perk, TX 77538 7e1: (281) 930.1918 Fex: (281) 479A989 .. <br /> ^ 4665 Parts S4eeL Suite B-200 Denver, CO 80239 Tel: (303) 373-4772 Fex: (303) 3734791 <br />^ 1501-A East Patapsco Avenue Baltimore, MD 21226 Tel; (410) 355-1958 Faz: (410) 355-1965 ^ 2804 Hackathome Lene Gillette, VYY 82718 Tel: (307) 882-7817 Fex: (307) 682-7951 <br />0216 Oxmoor Circle Birmingham, AL 35209 Tal; (205) 942-3120 Fax: (205)942-0914 ^ 15550 N. Lombard =Terminal 5 Portland, OR 97203 Tel: (503) 285-5905 Fax: (503) 285,5088 <br />` ^ P.O. Box 32 Charleroi, PA 15022 Tel; (724) 483-3549 Fax: (724) 483-0892 <br />rl ~ 016130 Van Dlunan Roed South Holland, IL 60473 .Tel: (708) 331-2900 Fex: (708) 333-3080 <br />// i <br />CLIENT. G 0 ~ ~h\r~~ti` ~C1 ~~.~ ~` ~~ <br />\\ <br />SGS Reference: <br />CONTACT.y-I- ~ ~ <br />,~~tr~ PHONE NO:~ JG) ~' , ~ <br />11 V' S~a ~ ,~~.~~ PAGE OF <br /> <br />/_ ~(/-'~ // ~~~ / <br />PROJECT ~ ~ <br />7 e~h ~4' ~~l.L(F $ITE/PWSID#~~_ <br />NO <br />SAMPLE <br />TYPE Praemlhrer <br />Uud <br />\~ A <br />l <br /> <br />REPORTS T0: <br />~.- <br />y!~ <br />~rC-~~ ~L. FAX NO.:I~ /[V ~cI ~ ~~ ~2J~"~ D <br /> <br />O <br /> <br />T <br /> <br />C= <br />COMP nelyr <br />a <br />Required <br /> <br />O3 ,~I~~~ N <br />INVOICE TO: QUOTE #; <br />_ <br />2 ~~g-17-x- ~ P.O. NUMBER: 'A <br />I <br />E GRAB ~' <br /> <br />r f S <br />V <br />LAB NO. SAMPLE IDENTIFICATION DA7E 71ME MATRIX R <br />S \ ~ REMARKS <br /> ~~ly ~~ o-~~tl~ l,.~zr a<) v F <br /> __~~- <br />CU Ci~~C ~' / ~ % , <br />, <br /> s <br /> <br /> <br /> 072-14209-001 <br /> 017 Eff Energy Diss <br />Mountain Coal Company <br /> Due: 08/14/2006 <br />i Ilinl IIIII IIIII Illil ill <br />I <br />1 <br /> <br />''e Intl II <br />I <br />1166~o~aaD: <br />'056460• <br />5 <br /> <br />~ C Il <br />/ <br />ected/Relinpuished By:(t) <br />~(~f ~c~ ~_- "'`i [9-a-<F~{~ <br />~ <br />~ <br />Dale <br />~ ~~ ~~~ <br />Time <br />~ ; ~~~~ 4 <br />Received By: <br />Shipping Cartier: / <br />Shipping Ticket No: <br />Samples Received CoIdT (Circle) YE NO <br />Temperature'C: <br />Reli ~ quished By: <br />(2) <br />\ <br />J Date Time ' Received By: Specal Deliverable Requirements: Chain of Custody Seal: (Circle) <br />INTACT BROKEN ABSENT <br />Relinquished By: (3) Data Time Received By: Requested Turnaround Time and Special Instrucf)ons: <br />' ~~ <br />Relinquished By: (4) Date Time Received By: ~~ <br />~~~ <br />~$GS COC Rev 3/04 While-RelnlndE by Lab Yellox-Returned with Reeart Phk-Retained M8emder <br />