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aqualab inc <br /> f ]3902 E. University Dr. Phoenix AZ 85034 602-437-0979 Fax 437-0826 <br /> [ ]710 E. Evans Blvd.Tucson AZ 85713 520-884-5811 Fax 884-5812 ' <br /> - <br /> [ ]2020 W. Lone Cactus Dr,Phoenix AZ 85027 602-780-4800 Fax 780-7695 <br /> [ ]992 Spice Islands Dr.Sparks NV 89431 702-355-0202 Fax 355-0817 <br /> f 1 75 Suttle St.Durango CO 81301 970-247-4220 Fax 247-4227 <br /> Client <br /> r Address 2 22f Sl,, System Name <br /> 1 City,State&Zip �t s� PWS No. Report to State/EPA Y N <br /> llrrrr <br /> ContactfPOE No. DWR No. <br /> Phone 37 Project Name s ,�7-d G��9 al? / ,7 Collection Point r <br /> Fax 4 1 `� Project Number 6�1Z ! Collectors Name 1 <br /> i <br /> P.O.Number Fax Results N Page L- of Lf Location(City) <br /> W. MW PLETY��C®„1E '' t. .. �� Analyses <br /> DW=drinking water TB=travel blank Compliance Requested V d <br /> WW=waste water SD=solid Monitoring <br /> MW=monitoring well SO=soil <br /> Y N �. <br /> HW-hazardous waste SL sludge A m �, <br /> Standard Lab Director <br /> Approval PUSI <br /> s <br /> \ . <br /> peci <br /> " iA � gip. ` <br /> b�.,U.9—,W ,.;.l . s a....:.. <br /> Li <br /> I Y Olt& <br /> x T <br /> 1 � <br /> InstructionslCommentslSpecial Requirements: <br /> 'j <br /> r P i <br /> a <br /> ReceledCn zq f$ r <br /> 9u5l3iy eai a <br /> 0: 4 'n t]B,S <br /> raw ;$� ::r ��{ ? nt In sv.. ec fed uy the da e s i „ego 1e In .is1 Ura <.,; <br /> I <br /> c:lexcellformslchain.xls <br />