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r i <br /> F8733 Bey, C <br /> Acculabs I c. Lab Number <br /> 1146 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> lk75 Suttle St 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 Fax Results Y N Page of <br /> Address '2i r f iC_ ,�cr7 r-; PUBLIC 1.ATER.,S6PPLY-INF0RMATI09P <br /> City, State&Zip 1 System Name <br /> k F <br /> Contact 11 LC, r w PWS No Report to State/EPA Y N <br /> Phorie�jfls !� �( Collectors Na-me✓ �� rt , t.r��POE No DWR No <br /> Fa - �' - G�� Project Name f I"tq� (t 2j(-)) Collection Point <br /> f!1 <br /> ' P 0 Number y Project Number�� `4 S�� C}-7 tit 60 City County <br /> PE CODES; b "�W �• s R C Analyses <br /> ' DW=drinking water TS=travel blank Compliance m i =n Requeste <br /> :MW <br /> waste water SD=solid - Monitoring)=hazardous <br /> monitoring well SO=soil Y N <br /> - , <br /> waste St_=sludge ., , <br /> ' "'TUR AROUoD imE.RE4[J ST E- � <br /> Standard Labl+tanager ` y r [ 7 <br /> Approval <br /> Special L <br /> LLtEiT� ,$1;1411?l? It:C { It Spl No <br /> kv i 4 Fz (oi ZQ, 215 1 X <br /> 1,217-8x <br /> i <br /> ' instructions/Comments/Special Requirements <br /> r�a-�,� Y a F'`'.`'" ��.`t''� �,�"` r ��' �="f�`�•'�`�' �'d,� ` ,�� �� '�'� .�Q s"�x ,� ..�, <br /> ' a i Cate , y Time."� vA m Ies�Rel n�IISlted,B`'e� � at Q'� � <br /> ti � : r5A111 ?L RCfPT � �, P G_ _ _ Y. f*� � _SampeswReceivecBy� , <br /> yr <br /> Received Cold Y N <br /> [ r <br /> Custody Seals Y N <br /> als Intact Y t N -' <br /> ' No of Containers _ <br /> �'�w `'*��''�'�k„''.'k'rq� x a��"tsr�xc :.ti x`.•r a,4"sn +aay -.1,r S-fir���F,,t+�S:"�"P•�Acc>ulalab5'IncsStandard <br /> mil Co dltions apply tt�le�ss wrgrementsecit4te ase�p�aymengttareNet3N-' <br /> Y <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 /> 301 2E <br />