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P <br />. I _VNq i <br />AraZ Laboratories, Inc. • • <br />LDownhfifl rive S teamboat S rings, CO 80487 (800) 334-5493 <br />Name: ORD F. L Address: P. A 1754 <br />Com n : PO Le' PA <br />E-mail: 7ele hone: $ $-- <br />Copy o Report to: <br />Name: vno% U?"?/G'n <br />E-mail: 0? i/ h lwelw A 6d ?o?ri <br />Com n : ^1417' & Ljlr Tele hone: 2c;2 -.5 3 S <br />Name: Address: D 1 :7 54- <br />Com n : l[ Y AlYatE 1 ENTh M6- LC 308- 2 <br />E-mail: Telephone.- <br />If sample(s) received past holding time (HT), or If Insufficient HT remains to complete YES <br />analysis before expiration, shall ACZ proceed with requested short HT analyses? NO <br />If "NO" than ACZ will contact client for further instruction. If neither "YES" nor "NO" <br />Is Indicated, ACZ will roceed with thereuested analyses, even If HT is expired, and data will be qualified. <br />PROJECT INFORMATION REQUESTED <br />Quote <br />Project/P0 M. <br />c <br />Reporting state for compliance testin : <br />Sampler's Name: ,C S v <br />w t <br />Are an sam es NRC licensable material? ° <br />• s • • RYA <br />ppb 28- y A 9 i 5.1 W 3 <br />049 ba 28 C 1 z :15 5W 3 ? <br />notog2 - c\,\/ °hb1c6 : aStl? ?W 3 <br />0066g2.5 -- ~rA 9 z$ 06 = 12 = L 6k) 3 t,-' <br />oo6ogI5 - o6'+? 1 Sw 3 <br />006 09 2-5- SP q o(-, 14'.2 5 SW 3 v" <br />006042$- LC `t 2 d6. 1120 Sv? -3 . V <br />0060q 16 -sJM P yZy 6 ? 13 35 Alid 3 ? <br />oo6o 2$ - - Lv T I i 61o& "? ?3 +3 Gv\1 3 ? <br /> <br />Matrix SW (Surface Water) • GW (Ground Water) • WW (Waste Water) • DW (Drinking Water) • SL (Sludge) • SO (Soil) • OL (011) • Other (Specify) <br />REMARKS <br />AFI&T 1 j DO A1407' AN#91-V Ze <br />?'d?10?it0'i ?I ry, ??? 77W <br />P41 <br />Please refer to ACTS terms & conditions located on the reverse side of this COC. <br />RELINOHISHED DATE:TIME RECEIVED BY: DATE:TIME <br /> (/0 <br /> 1 <br /> <br />' <br />Lyn/ <br /> <br />FRMAD050.03.05.02 White - Return with sample. Yellow - K81am mr your recoros. <br />I L59153: Page 19 of 19