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E8733 RE� <br /> t <br /> Acculabs Inc, Lab Number r) <br /> [ ]1725 W. 17th.St.Tempe AZ 85281 480-967-1310 Fax 967-1019 �V <br /> [ ]4455 S. Park Ave.Tucson AZ 85714 520-807-3801 Fax 807-3803 Report <br /> [ ]2029 N.4th St.Flagstaff AZ 86004 520-774-7643 Fax 774-7648 Due Date: <br /> [ <br /> 11046 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> 75 Suttle St.Durango CO 81301 970-247-4220 Fax 247-4227 i <br /> [ 14663 Table Mountain Dr,Golden CO 80403 303-277-9514 Fax 277-9512 <br /> [ <br /> 1992 Spice Islands Dr.Sparks NV 89431 775-355-0202 Fax 355-0817 <br /> Client Cl ,Z t� Fax Results Y N Page of <br /> Address � eOpp L1CWATER SEJFPLY,INFORM/TION;� <br /> City,State&Zip d <br /> System Name <br /> Contact <br /> YJ! PWS No. Report to State/EPA Y N <br /> Phone Collector's Name { J POE No. DWR No. <br /> Fax Project Name jY[ (� <br /> ! 6P� ri1[V�`t Collection Point i <br /> P.O.N= ''I'll'', E umber Project Number Q UG Locati (Ci y) <br /> . Si4l1lIPL'E TYPE:CODES � n: 3 # <br /> .# �` Analyses <br /> DW=drinking water TB=travel bl=Monitoring <br /> S NY <br /> C Requested <br /> i a <br /> WW=waste water SD=solidMW=monitoring well SO=soilHW=hazardous waste SL=sludgef P <br /> i°1JRNAROEJ.ND:TIME REQt1ES'CE13 <br /> Slandard <br /> Lab Manager � ;' ��• <br /> RUSH Approval T <br /> Special p s ` 1 <br /> CLIENTS SAMPLE=IDII OCATIO E", Date s I line N "BAR ( 5p1.No. <br />{ <br /> iZ <br /> �S c3 <br /> 5— is <br /> Instructions/Comments/Special Requirements: <br /> Ttme - <br /> ., SAMPLE Ri=CEIPT „c:. _ Date :' Sam is :Re1in_ hedBye ..:; mplesRecei edy' d i <br /> Received Cold © N 1221 <br /> Custody Seals Y N Ii <br /> Seals Intact Y N <br /> ,o.of Containers <br /> � Si- <br /> « b'Acc�ulahs-terms ace Net�Gt] (Pa Ment must b:e received b thetlate shown on fhe lnvotce or arty discount is uo�d)' � "�"' <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 received <br /> d <br /> 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 A301E <br />