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E8733 Rey, C' <br /> Acculabs 16c., y Lab Number <br /> 1046 Olive Dnve Davis CA 95616r�AJ- 530-757-0920 Fax 753-6091 <br /> /[ ]75 Suttle St Durango CO 81301 1,b 970-247-4220 Fax 247-4227 Report <br /> [ ]4663 Table Mountain Dr Golden CO 80403 303-277-9514 Fax 277-9512 Due Date t <br /> [ ]992 Space Islands Dr Sparks NV 89431 775-355-0202 Fax 355-0817 <br /> Cllen <br /> =T CoQp <br /> Fax Results Y N Page of <br /> a PUBLIG WAT- tJPPLY I�FORMATIdN� h <br /> Address � �. ..�=�� ;�-a .:,�,�f�� ` �-,�xa�w'��.. �• <br /> City,State&Zip Air &; System Name <br /> Contact L-Gt PWS No Report to State/EPA Y N <br /> PhD Collector's Nam POE No DWR No <br /> Fay Protect Nam Z h Collection Point <br /> P 0 Number 1,;&W Project Number { 3 ity County <br /> r' � +, tSA tr1. ''T,Y r D �`` t � j Analyses <br /> J a z� _m f.S I � r e <br /> 1 <br /> DW=drinking water 78=travel blank' Com- pliance Requeste <br /> k <br /> t-u <br /> W. <br /> =waste water SD=solid = Monitoring <br /> exp <br /> monitonng well SO=soil (, <br /> Y N <br /> WW=hazardous waste SL=sludge <br /> `;" T, R�iVAROUtV[S RIME IZE T]J STED �' XM g ,0 <br /> tandard Lab Manager <br /> 3 Approval <br /> Special <br /> uCiT�SSAI?I��L 'lO /t,TI+ { D'a ]�ime b';"l, TM'�y Spl No <br /> v i�XVW <br /> ' <br /> t ;r� <br /> 2_Ml <br /> _5 <br /> Instructions/Comments/Special Requirements <br /> .. "X'"'^"'--. v _a.r vr±- _�..w.•-,4 i.,q,.r....c .X. �,- ,s.-.r$T'Y-� S^ "Y ° - �' ��-:`� :�L'�`a�..yr �g-,- _ .y�� �w., j7� <br /> ,� t} <br /> k , t Sia fps t eliinquis eco By, ° :_ Sampie`s�Re�eir�e <br /> Received Cold Y­ L� <br /> j Custoc�y�Seals_ Y <br /> r .,y 3 3 x-7, rty5 <br /> eals Intact , = , Y_ Nriwur <br /> ' No of Containers w <br /> 1 i tia' <br /> 'AcEWabs;inc=s,S a�lti �Terms, ici ConditTbns applyunless fiyrt fen agr e n nts spedify otheSwi Pay ant terms,are e~ 0 �, ` <br /> _ V ,- <br /> y i C 4•J•'" ;e <br /> To the maximum extent permitted bylaw,the Client agrees to limit the liability of Acculabs, Inc for the Client's damages to the total com ensation�-- <br /> p y� � g Y 9 P <br /> received unless other arrangements are made`in writing This limitation shall apply regardless of the cause of action or legal theory pled or asserted <br /> 3012E <br />