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�1 F573 <br /> Accuiabs Inc. Lab Number <br /> 46 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> ]75 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 f Fax Results Y H <br /> PIJ Page of <br /> , Address 0 n. fC WATER,SUP.P4Y-:1NF0RMATf01d <br /> 42 <br /> 1. u,,wr;�ra-�rLst- <br /> City, State 11 zip OAZC CICr C System Name <br /> C a nt a ct—'>f *(, PWS No Report to State/EPA Y N <br /> Phony rT S ? Collectors Name 9-0?'o POE No AWR No <br /> 1 <br /> Fax C{ 7 ' Project Nam / (,/1 ,�t�'C f, 1'7<1+7 Collection Point <br /> P O Number Protect Number 1. f� (� 7006 b city County <br /> SAMP�7YPE CODES ' = _ '"` r t Analyses <br /> DW=drinking water TS=travel blank Compliance a :0,1 Requeste <br /> =waste water SD=solid Monitoring P, <br /> alsa9 Zy�l��� <br /> MW= onitonng well SO=soil Y N .a �r' <br /> HW=hazardous waste SL=sludge `' n�� <br /> ft)RNAROUNDQTIME RE-QUESTED h T `� <br /> , e = f <br /> tandard Lab Manager; "Y' <br /> Approval p.att ' <br /> Special i e � <br /> x`601 N -i4,SAMPLE'1D�LOCATION,;"� �"Data li na- FSw,,,`y" ,�f� -- spl No <br /> M \N4- S V`� <br /> w 'wS <br /> structionslCommenWSpecial Requirements <br /> SAMPLE RECEIPT Date Time Samples Relinquished By Samples Received By <br /> eceived Cold Y N <br /> ustody Seals Y N <br /> Is Intact Y N <br /> f Containers <br /> Acculab ,, Ines 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 iota(compensation <br /> �ceived unless other arrangements are made in writing Th;s limitation shall apply regardless of the cause of action or legal theory pled or asserted <br /> 301 2= j <br />