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Acculabs Inc. Lab Number <br /> 1 C46 Olive Driveti Dais CA 95616 530-757-0920 Fax 753-6091 <br /> [ j 7 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 /> nt 7— <br /> ( Fax Results Y N Page of <br /> Address -3�- i _ A PUBLIG WATRtSUPPLYINFORMA;IQNIe <br /> s'�4e rxa t'€ `"c«r.�.,w.ASa-s�sta ur a,6sx <br /> City,State&Zip's n ' l� rpt <br /> CJ System Name <br /> Contact � <br /> y K2 1e-a <br /> ( PWS No Report to StatelEPA Y N <br /> Phone;,f ' �`�r; ' y Collector's Name 1 I <br /> �r' r f�!i�t� POE No DWR Na <br /> (c _ <br /> Fax l X75 1 c;_O Project Name:/�_f ,+(r, r / ! ' le-, Collection Point <br /> a <br /> P 0 Number Project Number?S l 3 ?7 a]r r- City County <br /> x��BA_MPLE TY CODES 3M €�� Analyses <br /> DW=drinking water TB =travel blank Compliance Requeste 1 <br /> WW=waste water SD=solid Monitoring P t �\ <br /> 1W°"i a <br /> MW=monitoring well SO=sod <br /> Y N y 9 s «i <br /> HW=hazardous waste SI-=sludge 7 <br /> A1�URNA.ROUND T�IVIE REQUESTED,",111:- ;t 7 <br /> Standard Lab Manager P���a <br /> RU <br /> Approval <br /> �,'t <br /> Special <br /> vim Spl No <br /> _ 9 L4 <br /> VJ , <br /> In,tmetlons/Comments/Special Requirements <br /> 5 <br /> -11 <br /> 'r`SAMPL, 1RECEIPI-t'W, `-,Date . , Time; ' Sam les Relmquished By mples Reeived Bye " a <br /> Received Cold Y N <br /> Custody Seals Y N <br /> Seals Intact Y N <br /> eof 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 /> �ecefved unless other arrangements are made in writing This limitation shall anoly regardless of the cause of action or legal theory pled or asserted <br /> 301 2E <br /> c <br />