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of I <br /> cuiabs Inc. _ Lab Number <br /> 046 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> A <br /> 1'75 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 Or Sparks NV 89431 775-355-0202 Fax 355-0817 <br /> Client Fax Results Y N Page of <br /> Address �� -�� r,F PUBL�IM ,ATf~R'S k.Y;1WFORMATION <br /> 15 <br /> Cit State&Zi r' r <br /> City, p� 1 l/,-( C.f Q / 5 System Name <br /> Cants L9 V Z±_27t9O PWS No Report to State/EPA Y N <br /> tFa � <br /> �1 ?_ Collector's Nalyl //7'� POE No DWft No 'r <br /> f 7�C Project i+lame--'7} ��j�Q��/J� Collection Point <br /> P O Number �+ Proj x7,Titsd<P r &_tJ'7 wo County <br /> r <br /> ; 7' 'SAMPLE TYPE CODES n S C Analyses <br /> y <br /> DW=drinking water TB=travel blank Compliance is n i Requeste <br /> WW=waste water SD=solid Monitoring p` J t <br /> 1 = onitonng well SO=soil , 1' s a + <br /> Y N e- <br /> HW=hazardous waste SE_=sludge n' <br /> " TURNAROUND TIME REQUESTED 7 e' <br /> �N <br /> tandard Lab Manager 'y r ' <br /> RUSH Approval P S <br /> Special e <br /> CLIENT'S SAMPLE ID/LOCATION i aDate SpI No <br /> 3s <br /> Instructions/Comments/Special Requirements <br /> t - <br /> SAMPLIIRECEIPT D to Time f jampl s Relinquished By Samples Received By <br />' Received Cold Y N <br /> Custody Seals Y N i t Mu/ 77V <br /> Seals Intact Y N <br /> No of Containers <br /> Acculabs, Inc's 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 total compensation <br /> received unless other arrangements are mads n writing This IEm,tation shaft apply regardless of the cause of action or legal tneory pled or asserted <br /> 301 2F <br />