Laserfiche WebLink
ACCUIabS Inc. Lab Number (- P <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 /> [ J 2029 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 /> [ J 75 Suftle 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 /> [ ]992 nnSpice Islands Dr.Sparks NV 8943111 702-355-0202 Fax 355-0817 <br /> Fl <br /> Client ow 2n( — Co W r KN PUBLIC WATER SUPPLY INFORMATION <br /> Address System Report to:State Y N <br /> '— City,State&Zip PWS No. Reportto: EPA Y N <br /> Contact e f(1 #4Sooaj <br /> I 1 POE No. DWR No. <br /> Phone Project Name T I/t Collection Point <br /> Fax Project Number Collector's Name <br /> _ P.O. Number fax ResultsY N Page of Location(City) <br /> SAMPLE TYPE CODES- Analyses <br /> DW=drinking water TB=travel blank Compliance a o Requested <br /> WW=waste water SD=solid Monitoring m n <br /> MW=monitoring well SO=soil Y N p t <br /> HW=hazardous waste SL=sludge I a <br /> TURNAROUND TIME REQUESTED e <br /> n Q <br /> tandard Lab Manager T e l <br /> RUSH Approval y r <br /> P a Q <br /> Special e <br /> CLIENTS SAMPLE IDILOCATION Date Time Spl. No. <br /> 01 <br /> '�-2- 3 a �4 <br /> W I V X �S <br /> Instructions/Comments/Special Requirements: <br /> tch -H &60 Wx1 bllc Neal��n 3o�k Webpr9ti oc4�f�1 u� <br /> SAMPLE RECEIPT Data Time amples l in is B Samples Received B <br /> Received Cold Y N i?-,( to 0J 11� [L <br /> Custody Seals Y N <br /> Seals Intact Y N <br /> No. of Containers <br /> Acculabs'terms are: Net 40 (Payment must be received by the date shown on the Invoice or any discount is void) <br /> Lad repD r +o _..)t M G-nb l C7o-7)74$-776„3 <br />