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~ ~~i~ <br />AL'iZ Laboratories <br />Inc ~ • I, <br />, <br />. <br />2773 Downhill Onva Steamhoat Springs, CO 80487 (800) 334-5493 <br />•• <br />.. <br />Name:. U <br />Address: <br /> <br />E-mail: ~ Co ~ Tale hone: 7 - (0 3 ~ <br />Name.• ~ <br />O nJ E-mail: b G'FPl'~/' oN ~^ NI.~7CCVlSR; COt^-` <br />. II <br />Compan : /~ W ~ '~ Tale hone: <br />Name: ~~~ ~C> o--r.-J Address: 'Li <br />Com an <br />E-mail: Tale hone: <br />If sample(s) roealved peat holding lima (H7), or If insufficient H7 remains to comploto YES <br />analysis before expiration, shall ACZ proceed with requested short H 7 analyses? NO <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 qualified. <br />-• •~ ~ ~ r <br />Quote #: ~,3 <br /> <br />Pro'ecf/PO #: <br />Re ortin state for com liance testin : ~ <br />~ <br />Sampler's Name;,,) r SSI'n><}nJ v $ <br />Are any samples NRC licensable material? ,l~d ° ff <br /># <br />~ <br /> <br />.~ .. <br />R <br /> <br />--- .~ /,'Zt1 _ <br /> <br /> t f !2 i 2G Ca) <br /> 11 Z' <br /> t) r <br />4- `f G <br /> <br />_Z r) r <br /> <br /> <br />MetrlX SW (Surface Water) ~ GW (Ground Water) ~ W W (Waste Water) ~ DW (Drinking Water) ~ SL (Sludge) ~ SO (Soil) ~ OL (Oil) • Other (Specify) <br />Please refer to ACZ's terms 8 conditions located on the reverse side of this COC. <br />w ~ ~. ~ e ~. <br /> <br /> <br /> <br />FRMAD050.03.05.02 ~~ White -Return with sample. Yellow- Retain for your recortls. <br />L53815: Page 16 of 17 <br />