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F8733 Ray- Q <br /> Acculabs Inc. Lab Number <br /> 7046 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> R J <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 /> Chent,,�,, � P Fax Results Y N Page of <br /> Address ��^ l r (,� d pUBUIC WATER SUPPLY INFORMATION <br /> City,State&Zip �� O{ _ Q L .r System Name <br /> Contac ~' PWS No Report to State/EPA Y N <br /> Pho e D Collector's Na )/` //1 ' POE No DWR No <br /> Fa Prole7cyt N me� (, Sir Collection Point <br /> P O Number Proler~t Ru r� �L 4"-^'� County <br /> SAMPLE TYPE CODESS C Analyses <br /> 1 <br /> DW=drinking water TB=travel blank Compliance m a Requeste <br /> ' WW=waste water SD=solid Monitoring P t <br /> t a <br /> - onitonng well SO=sod Y N g i <br /> ' HW=hazardous waste SL=sludge h <br /> TURNAROUND TIME REQUESTED T @ <br /> tandar Lab Manager y f <br /> I P <br /> Approvas <br /> RUSH e ' <br /> Special <br /> CLIENT'S SAMPLE IDILOCATION Date Time Spt No <br /> to, W 0I <br /> Pr <br /> 1 4VJ -5;;4- 11 WIvJ G� <br /> 1 <br /> 1 <br /> ' Instructions/Comments/SpeCLal Requirements <br /> SAMPLE RECEIPT qate Time r, I amp es Relinquished By Samptes Received By <br /> I <br /> Received Cold Y N `k <br /> ' Custody Seats Y N � I V <br /> eats Intact Y N <br /> o 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 liaodTty of Acculabs Inc ter the Client s damages to the total compensation <br /> received unless other arrangements are made in writing Tnis limitation shall apoy regardless of the cause of action or legal theory pled or asserted <br /> 301 2E <br />