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r <br /> Acculabs Inc. w Lab Number <br /> [ ] 1725 W 17th St Tempe AZ 85281 602-967-1310 Fax 967-1019 <br /> [ ]4455 S Park Ave Tucson AZ 85714 520-807-3801 Fax 807-3803 Report <br /> [ ]2020 W Lone Cactus Dr Phoenix AZ 85027 602-780-4800 Fax 780-7695 Due Date <br /> [ ]2D29 N 4th St Flagstaff AZ 86004 520-774-7643 Fax 774-7648 <br /> [ ] 1046 Olive Drive Davis CA 95616 530-757-0920 Fax 753-6091 <br /> [ <br /> 175 Suttle St Durango CO 81301 970 247-4220 Fax 247-4227 <br /> [ ]4663 Table Mountain Dr Golden CO 80403 303-277-9514 Fax 277-9512 <br /> j ]992 Spice Islands Dr Sparks NV 89431 702-355-0202 Fax 355-0817 <br /> Client ��t? �„��� PUBLIC WATER SUPPLY INFORMATION <br /> Address N Q i X 7 3 System Report to State Y N <br /> rCty State&Zip ., �, ��.�c s Z Z 3 PWS No Report to EPA Y N <br /> Contact Iii �i i,�cY POE No DWR No <br /> rPhone [ Z (— ( '7 3 Protect Name jEr-V44 K5 c 1 Collection Point <br /> Fax C I `$ 1 Z ' I — S7 ? Z-0 Protect Number / Z S 4?1 `j Collector's Name <br /> P O Number Fax Results Y N Page of Location (City) <br /> SAMPLE TYPE CODES Analyses <br /> DW=drinking water TB =travel blank Compliance a O Requested <br /> r WW=waste water SD =solid Monitoring m n L <br /> MW=monitoring well SO =soli Y N p t �k k <br /> r <br /> HW=hazardous waste SL=sludge I a t� <br /> TURNAROUND TIME REQUESTED e i <br /> Standard Lab Manager T e e � p <br /> RUSH Approval y r <br /> p s �' O <br /> ectal nt � <br /> e <br /> CLIENT'S SAMPL ID/LOCATION Date a Spl No <br /> Lrp !`- 70 `?C ll <br /> 15 3 V X I� <br /> r <br /> FT <br /> r <br /> r <br /> r <br /> Instructions/Comments/Special Requirements <br />' SAMPLE RECEIPT Date Time Sam les Rehnqu shed By Samples Received By <br /> Received Cold Y N <br />' Custody Seals Y N <br /> als Intact Y N T-T <br /> No of Containers <br /> Acculabs'terms are Net 40 (Payment roust be received by the date shown on the Involce or any discount is void) <br /> r <br />