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ACZ Laboratories, Inc. <br />2773 Downhill Drive <br />Steamboat Springs, CO 80487 <br />GENERAL INFORMATION <br />WG#: <br />' PC& <br />ACZ Sample ID's: L ` J`Q �O ` r O <br />Method: <br />ANALYST REQUIREMENTS <br />A) Hold Times Met? <br />B) QC Criteria Valid? <br />C) Sample Dilution Factors appropriate? <br />D) Date & Time of Analysis on Report? <br />E) MDLs and PQLs Listed on Report? <br />Comments: <br />Reviewer's N <br />SUBCONTRACTED WORKGROUP REVIEW FORM <br />Yes <br />Yes <br />Yes <br />Yes ❑ <br />Yes <br />Sub - Contract Lab: A LS 61vl ion ketAlaS. <br />No ❑ N/A ❑ <br />No 0 N /A❑ <br />No ❑ N/A ❑ <br />No I N/A ❑ <br />No 0 N/A ❑ <br />15 fe ded o <br />/l i <br />l:: (4o <br />Not indicated on report ❑ <br />Not indicated on report ❑ <br />Not indicated on report ❑ <br />Not indicated on report ❑ <br />Not indicated on report ❑ <br />56-1)-- -.)? 8_1-12: <br />Signature Date <br />8-1 -IZ <br />FRMQA024.02.04.02 <br />Page 37 of 5 <br />