Laserfiche WebLink
F8733 Rev. Q <br /> Accuiabs Inc. Lab Number o 3 <br /> L41046 Olive Dnve Davis CA 95616 530-757-0920 Fax 753-6091 <br /> [`']7"Suttle St Durango CO 81301 970-247-4220 Fax 247-4227 Report <br /> [ ]4663 Table Mountain Or Golden CO 80403 303-277-9514 Fax 277-9512 Due Date <br /> [ <br /> 1992 Spice Islands Or Sparks NV 89431 775-355-0202 Fax 355-0817 <br /> Client Fax Results Y N Page of <br /> Address PUBLIC WATER SUPPLY INFORMATION <br /> City,State&Zi r System Name <br /> Contact -Ll� Cr PWS No Report to State/EPA Y N <br /> Phone Z� ` 6� Collector's Na _,#, �y POE No DWR No <br /> Fax"��5Zg—d O Project Nam�f (, `tea 176(0 Collection Point <br /> P O Number Project NumberZ$1 -3 i 7 City County <br /> SAMPLE TYPE CODES S C Analyses <br /> DWT drinking water TS=travel blank Compliance m n Requeste C <br /> WW=waste water SD=solid Monitoring � t <br /> MW monitoring well SO=sod Y N Q I <br /> HW= hazardous waste SL=sludge rt <br /> TURNAROUND TIME REQUESTED T le �n <br /> St ndai Lab Manager y <br /> Approval R <br /> e <br /> Special <br /> CLIENT'S SAMPLE IDILOCATION Date TimeI Spl No <br /> ob 3 01 <br /> Env KvJ M" 0Z <br /> 2 -el-0 ter 3 0; <br /> i <br /> ' Instructions/Comments/Special Requirements <br /> SAMPLE RECEIPT Date Time Sam les Relinquished By ,Samples Re eived By <br /> Received Cold Y N �� ~ <br /> Custody Seals Y N <br /> Seals Intact Y N <br /> ' No of Containers <br /> Accuiabs, Inc's Standard Terms and Conditions apply unless written agreements specify otherwise Payment terms are Net 30 <br /> To the maximum axtent permitted by law the Client agrees to limit the liability of Accuiabs Inc for+he Client s damages to the total compensation <br /> ' raceived unless other arrangements are made in writing This limitation shall apply regarr less of to a ausa or-action or legal rneory pled or asserted <br /> 301 2-= <br />