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1 -r-P I F,?? <br /> <br />CZ Laboratories <br />Inc. <br />, e <br />2773 Do"hM DrfH• Steamboat Sphngs, CO 80487 800 334-5493 <br />Name: RD E. SUCXW4Y Address: P. A0, <br />9 <br />Com n . IQo 41_e 41AITNge-5 <br />E-mall Tele hone: 969- <br />-jag <br />Copy of Report to: -10 <br />? P r C/f E-mail: O? i/ q 60, <br />Com n : H011417- &D ALA- Y? ?S Tele hone: 70-16 -3 $ <br />Name: Address: D Box 4 :75¢ <br /> <br />-- E2y We <br />Com n: ?[ T i E h ti?S' UC IRWALbEk. C0 3a - 2 7 <br />E-mail: Telephone: <br />If sample(s) received past holding time (HT), or If Insuffi lent HT remains to complete YES <br />analysis before expiration, shall ACZ proceed with requested short HT analyses? NO <br />If "NO" than AM will contact client for further Instruction. If neither "YES' nor "NO" <br />Is Indleat ad, ACZ will roee•d with the uested ansbMei% even If HT Is red, and data will be qualm s& <br />PROJECT INFORMATION <br /> <br />Quote #: MEMNON <br />ProPO # <br />Reporting state for compliance testi : &Wfthlo <br />Sam lees Name: .C S 0 <br />Are an sarrl es NRC licensable material? ° <br /> <br />po 28- H A 9 = i5-17 W 3 <br />549 tea 28-- c y Za/D : 1z:15 SW -3 <br />? <br />006008 - C\&/ `A1 01C6 : i 9? &I L j 3 ? <br />0 060g 2.13 - TA 4119106 f 411 6 kJ 3 ? <br />oo6o42.13 - P `112 10 0G+1511 5W 3 <br />006092-5- SP %g Dta : 1 q'• 2 5 SW 3 ? ' <br />006 Oq 2 - L-C q 1 o 6 11 ' 20 SW -3 ? <br />006042 13 -5JN? P q1,s9 6 13 35 L-iM1 3 ? <br />0060 28 - - cu T 9 Z6/06 134t3 4W 3 ? <br /> <br />Matrix SW (Surface Water) - GW (Ground Water) • WW (Waste Water) • DW (DrlnIdng Water) • SL (Sludge) - SO (Soil) • OL (00) - Other (3peW) <br />02iGIA14L N149OT9' 4' 60-1465¢ <br />?X[ P T'j D D "7- ANALYZE )"le F 41 t e-W r ell ?i ry, AV,6 7-A3 <br />Please refer to ACZ's terms & conditions located on the reverse side of this COC. <br />RELINCII)ISHED BY DA-1 E:-riME RECEIVED BY DATE TIME <br />?ler :1d ?8 r ro <br /> <br /> r? <br /> <br />FRMAD050.03.05.02 White - Return with sample. Yellow - Retain for your records. <br />L59153: Page 19 of 19