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Acculabs Inc. Lab Number -no�� <br /> 6 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 /> [ j 4663 Table Mountain Or Golden CO 80403 303-277-9514 Fax 277-9512 Due Date <br /> ]992 Spice Islands Or Sparks NV 8943'1 775-355-0202 Fax 355-0817 <br /> ' Client Fax Results Y N Page of <br /> PUBLIC WATER SUPPLY INFORMATION <br /> Address <br /> City State 8&Zip System Name <br /> i PWS No Report to State/EPA Y N <br /> Contact � /3 <br /> ' <br /> Phan 5 - `l Collector's Name n7r©,� POE No DWR No Fax ' <br /> Project Nam 1 +4T7 Collection Point <br /> P O Number Project Number-18 t -7�- 0476U66 City County <br /> SAMPLE TYPE CODES S C Analyses <br /> a Requests <br /> DW=dnnking water TB=travel blank Compliance m n <br /> P t <br /> -waste water SD=solid Monitoring I a <br /> MW- onitonng well SO=sod Y N a I <br /> HW=hazardous waste SL=sludge 1 0 <br /> TURNAROUND TIME REQUESTED T e <br /> Lab Manager y r <br /> Standard P $ �' <br /> R Approval e <br /> Special C <br /> Spl No <br /> CLIENT'S SAMPLE IDILOCATION Date Time <br /> W _ x <br /> t 1 'SK)M ay <br /> ' Instructions/Comments/Special Requirements <br /> SAMPLE RECEIPT Date Time Samples Relinquished By Samples R eived By <br /> Received Cold Y N <br /> 1130 <br /> ' Custody Seals Y N <br /> Seals Intact Y N <br /> No of Con#amers <br /> ' ions apply unless written agreements specify otherwise Payment terms are Net 34 <br /> ACculabs, Inc's Standard Terms and Condit <br /> To the maximum extent permitted by law,the Client agrees to limit t e liability of Acculabs Inc for the Client s damages to the total compensation <br /> received unless other arrangements sre made in writirg This limitation shall apoly regardless :)f the cause of action or legal theory pled or asserted <br /> 301 2 <br /> ` <br />