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Quote #: d5t) .110 Z= <br />Project/PO #: <br />Reportin state for compliance testin : <br />Sampler's Name: SSwi? <br />Are anv samoles NRC licensable material? <br />Address: X' <br /> <br />Telephone: ?l <br />E-mail: -5 <br />e-0 U-S14. <br />Telephone: <br />Address: ?- <br /> i <br />Telephone: <br />ains to complete YES <br /> NO <br />w <br />m <br />c <br />c <br />0 <br />U <br />0 <br /> <br />Matrix SW (Surface Water) • GW (Ground Water) • WW (Waste Water) • DW (Drinking Water) - SL (Sludge) SO (Soil) • OL (Oil) • Other (Specify) <br />BARKS <br />Please refer to ACZ's terms & conditions located on the reverse side of this COG. <br />Y <br />ALrL Laboratories, In <br />2773 Downhill Drive Steamboat Springs, CO 80487 (800) <br />3•34-5493( ? - ` <br />3 <br />Name: G? <br />Company: <br />E-mail c° C of"-C"1Yi <br />Name: <br />jcLb- <br />If sample(s) received past holding time (HT), or if insufficient HT rem <br />analysis before expiration, shall ACZ proceed with requested short HT analyses? <br />If "NO" then ACZ will contact client for further instruction. If neither "YES" nor "NO" <br />is indicated, ACZ will proceed with the requested analyses, even if HT Is expired, and data will be <br />