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Acculabs Inc. ] Lab Number <br /> I{ <br /> s [ 13502 E.University Dr.Phoenix AZ 854.34 602-4374)979 Fax 437-0826 I I Z O p <br /> ( 710 E. Evans Blvd.Tucson AZ 85713 520-8845811 Fax 884-5812 Repoli <br /> [ 12020 W.Lone Cactus Dr.Phoenix AZ 85427 602-780-4800 Fax 780.7695 Due Date: <br /> ( 14663 Table Mountain Or.Golden CO 80403 303.277-9514 Fax 277-8512 <br /> [ 1992 Spice islands Or.Sparks NV 89431 7025554202 Fax 355-0817 <br /> [ <br /> 11046 Olive Drive#2 Davis CA%616 530-7574=Fax 75343091 <br /> Client PlJBUC"WAI ER!SUPPL.Y".INFORMATION. c <br /> I <br /> Address System Name <br /> City,State&ZIP PWS No. Report to StatelEPA Y N <br /> Contact �!} / ►(� POE No. OWR No. ; <br /> Phone Project Name�' Ck Io i� I er H r Its Collection Point <br /> Fax Project Number .Colfector's Name <br /> P.O.Number Fax Results Y N Page of Location(City) <br /> SAMPLE,TYPE`EO!]ES }� ��� �' `� Analyses <br /> DW=drinking water TB=travel blank Compliance St ;; _ Requested <br /> WW=waste water SD=solid MonitoringFEW ae; <br /> MW=monitoring well SO=soil r ' <br /> Y N <br /> HW hazardous waste SL=sludgek ys <br /> r=TCiRNAROUND'TIMEAEQUESTE D ., <br /> Standard i atr Di <br /> rector <br /> Approval 1 <br /> RUSH <br /> 4- <br /> Special <br /> ,CLiENT'S-SAMPLE 1D ''OCATIOW- _ .:'D ?. me Spi.No. ; <br /> 01 i <br /> r <br /> sp-rA.1 -IA. z rr 5 2 k <br /> 03 <br /> -2, <br /> Instnictions/Cortrnents(Speciai Requirements: 4 bo q ���Lt 45 tM �9�'I 70 <br /> SAMRLE'RECEIPT`" ; jq T ,. Date Time SamT Reis°f u✓ h .,, f " k .°.;Sam 16 Receiired 8 `. <br /> Received Cold Y N J <br /> i I <br /> Custody Seals Y N i <br /> Seals Intact Y N <br /> No. of Containers IpI' <br /> A=ulabiO'tenn�.a' Net 4(3� Fxa x:m t,rinu' 6e ireceiveil b the date si�own orithe Ehvoice orart discoitntls,vord). . <br /> c:lexce]Vormslchain_xls �; <br />