Laserfiche WebLink
Lab Number <br /> Acculabs Inc. Z a��o <br /> [ ]1725 W 17th St.Tempe AZ 85281 602-967-1310 Fax 967-1019 <br /> [ ]4455 S Park Ave Tucson AZ 85714 520-807-3801 Fax 807-3803 Report <br /> ( ]2020 W Lone Cactus Dr Phoenix AZ 85027 602-780-4800 Fax 780-7695 Due Date <br /> { ]2029 N 4th St Flagstaff AZ 86004 520-774-7643 Fax 774-7648 <br /> [VIrl046 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> [ ]75 Suttle St Durango CO 81301 970-247-4220 Fax 247-4227 <br /> [ ]4663 Table Mountain Dr Golden CO 80403 303-277-9514 Fax 277-9512 <br /> [ ]992bSpice <br /> !Islands Dr Sparks NV 89431 702-355-0202 Fax 355-0817 <br /> Client r �1,'fP Se/1 V I?el f �} Q PUBLIC WATER SUPPLY INFORMi4TION ya <br /> Address o I vej r �iJN p K R"44 System Report to State Y N <br /> ' City State&Zip C-0 /j, 1), p PWS No Report to EPA Y N <br /> y� <br /> Contact II UI I � ,}t Kh <br /> 1 I f��.'7l w*t I [ POE No DWR No <br /> Project Name Collection Point i,7v fk 61,m,f --.rfiedc t ✓ <br /> (/ <br /> Fax rI a 0 Project Number �Q S 6 " r Collector's Namel� Ze 05fdd �} <br /> P O Number Fax Results Y N Page of Location(City) Sfp C � <br /> A- SAMPLE TYPE�GODES - Analyses <br /> DW=drinking water TB=travel blank Compliancea Requested <br /> 51 waste waste water SD=solid Monitoring m n Q <br /> monitoring well SO=soil Y N p t <br /> HW=hazardous waste SL=sludge I a , <br /> ,-,,-,TURNAROUND TIME REQUESTED - e I - <br /> In <br /> Lab Manager <br /> Approval r <br /> RUSH pm .� 3L <br /> s` <br /> ectal 'ei L �\ jC <br /> CLiENT'S SAMPLE iwLOGATiON" s Date - Time ? Spi No <br /> rr YV-Go 110 3 A 01 <br /> V Y Vo 4- 3 oz <br /> m w-otf D y 1 r /3: o vo+ 3 >c 03 <br /> m W n r I <br /> Of 11 Val 3 04- <br /> M W70 (1 y rt Y o y;ro v#4- 3 0s <br /> ■ m rn1"!r� 1 i C7 Y y� rr Y r�. �� v�.� � � 06 <br /> ■ kr 13 101,- 0- va4- ,3 0} <br /> 5 1 r <br /> Of It 6:�,o Vr4 -3 x t78 <br /> 5P 1 <br /> It 0Y I y rr Y 16!�'o Uoq >"d � <br /> SP P G Y y rr sr 16 :.5-1 VO4_ 3 x to <br /> Instructions/Comments/Special Requirements <br /> ps ✓ t 4 i <br /> SAMPLE-RECEIPTS` ��_ "Date Time ,�` plq s'a -hn ul bed B "-",. -- ' Samples Receivdd;B <br /> Received Cold Y N <br /> Custodv Seals Y N <br /> eals Intact Y N <br /> No of Containers <br /> ,. €^..,; = y , � a_ <br /> Acculabs�terMs are CNet 40 (Payment must be,recetved by the date shown or the Invoice or any discount is void) ' <br />