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in (� G or= t•CJ!`< rc� <br /> -moi 'b ufnbar <br /> [ ]1046 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> [ ]75 Suttle Sl.Durango CO 81301 970-247-4220 Fax 247-4227 Report <br /> [ ]4663 Table Mountain Dr.Golden CO 80403 303-277-9514 Fax 277-9512 Due Date: <br /> [ ]992 Spice Islands Dr.Sparks NV 89431 775-355-0202 Fax 355-0817 <br /> Client �.r��, ti <br /> Fax Results Y N Page of <br /> Address Q �ti�� C'f S t <br /> =11 111 1 <br /> City,State&Zip u. w.—. System Name <br /> Contact Doi PWS No. Report to State/EPA Y N <br /> Phone �j'((; - tr.5 — h O Collector's Name POE No. DWR No. <br /> Fax — (o Z p Project Name r" o c VO Collection Point <br /> P.O.Number Project Number City County <br /> Analyses ..p <br /> DW=drinking water TB=travel blank Compliance Requests nj <br /> W W=waste water SD=solid Monitoring <br /> MW=monitoring well SO=soil N G <br /> HW=hazardous waste SL=sludge 1, <br /> � OX <br /> Standard Lab Manager L( f ..� <br /> RUSH a ripc-.� Approval / <br /> Special <br /> I- <br /> T Z — to <br /> Z _ g -6 ' `iso nil <br /> Instructions/Comments/Special Requirements: <br /> SAMPLE R5EPP,T bate Time Samples Relinquished By }' Samples Re ed By <br /> Received Cold Y,// N -3 p ' ��• %- o� <br /> Custody Seals Y N <br /> Seals Intact Y W <br /> No. of Containers <br /> Acculabs,Inc.'s Standard Terms and Conditions apply unless written agreements specify otherwise, -Payment terms are Net 30. <br /> To the maximum extent permitted by law,the Client agrees to limit the liability of Acculabs, Inc.for the Client's damages to the total compensation <br /> received unless other arrangements are made in writing. This limitation shall apply regardless of the cause of action or legal theory pled or asserted. <br /> I 301.2E <br />