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L?o tHO <br />AraZ Laboratories, Inc. • <br />2773 Downhill Drive Steamboat Spitngs, CO 80487 (800) 3345493 <br />. <br />Address:: <br />Name: W v <br />Com n ?. 1% A-16 ,LL11;Z - <br /> <br />- <br />E-mail: Telephone: <br />Copy of Report to: <br />Name: E-mail: <br />Com n . LE- Tele Telephone: 72-161-54 <br />Name: Address: <br />company: NAUAIr- - YEwmm L&'" A6 Above- <br />E-mail: Telephone: <br />If sample(s) received past holding time (HT), or N insufficient HT remains to complete YES <br />analysis before expiration, shall ACZ proceed with requested short HT analyses? NO <br />If "NO" then ACZ will contact client for further instruction. If neither "YES" nor "NO" <br />is indicsbd, ACZ will proceed with dw nested ana , even H HT Is rod, and data will be qualified. <br />PROJECT INFORMATION ANALYSES • <br />r <br />Quote M <br />Project/P0 <br />Reporting state for compliance testin : <br />0 <br />Sam lees Name: v <br />Are an sam hw NRC licensable material? <br />ra • ? <br /> <br />-Z <br />f t jZf <br />?/ <br />?2 -?0-3 ) t <br /> AMP <br /> <br /> <br /> <br /> <br /> <br /> <br />Matrix 3W (Surface Water) GW (Ground Water) • WW (Waste Water) • DW (Drinking Water) • SL (Sludge) SO (Sol) - OL (Ol) - Other (Spa*) <br />REMARKS <br />??2J ?iAJAZ ?luorr ,?O w /?d? ?. ?FPT,' <br />?D 07' i9NAL`ISE P91 LUAIW 1101Y A4b <br />A107- 00/0-F- 41/7)1- he)b <br />th <br />id <br />f thi <br />l <br />t <br />d <br />COC <br />on <br />e reverse s <br />s <br />oca <br />e <br />e o <br />. <br />Piea refer to ACTs terms 8 conditions <br />• •' ' <br /> <br /> <br /> <br />FRMAD050.03.05.02 White - Return with sample. Yellow - Retain for your records. <br />60540: Page 13 of 13