Laserfiche WebLink
JAN-19-99 TUE X11 ;K AM ACCULABS RiS FAX NO, 630 75X91 P. 01/02 <br /> li <br /> Lab Number O <br /> Acculabs Inc. 602.967.1310 Fax 967-1019 <br /> j <br /> 11725 W. 17th.Si.Tempe AZ 85281 Re ort l <br /> ( ]4455 S.park Ave.Tucson AZ 85714 520-607-3841 Fax 807 3803 P <br /> 602-780.4800 Fax 760-7695 —..- <br /> 12020 <br /> ue Date. <br /> ( ]2020 W.Lone Cactus Dr.Phoenix AZ 85027 520.174-7643 Fax 774.7648 <br /> [ ]2029 N.4th.St,Flagstaff AZ 86004 530-757-0920 Fax 753-6091 <br /> ( 1;046 Olive Drive Davis CA 9561 B { <br /> 970-247-4220 Fax 247-4227 � <br /> ( <br /> 175 Suttle St.Duiango CO 81301 303.277=9514 Fax 277-9512 <br /> ( ]4663 Table Moantain lar,Golden CO 80403 702-355-0202 Fax 355-08W <br /> � <br /> [ 1992 Spice islands Dr.Sparks NV 89431 <br /> P[3BLIC WATER'SUPPLY;INFORMATION <br /> Client N <br /> System Report to:State Y N <br /> Address I' <br /> PWS ND. Report to: EPA Y N <br /> City,State ZIP <br /> �j � POE No. DWR No. <br /> Contact M111 1�t'`I <br /> Phone <br /> Project Name J'1 X57 Collection Point <br /> Project Number Collector's Name i <br /> Fax <br /> ## P.O.Number �I Fax Results Y N Page of Location(City) <br /> Analyses <br /> SAMPLE TYPE CODES'- S C } <br /> Requested <br /> DW=drinking water j� TS=travel blank Compliance a o <br /> W1'V=waste water SD=solid h4on3toring m n- <br /> p t r <br /> MW=monitoring well SO=soil Y N I a <br /> NW=hazardous waste SL=sludge e <br /> TURNAROUND TIME REQUESTED n <br /> Lab Manager T e <br /> tanda t <br /> Approval y r. <br /> H p s <br /> Special �! e 5pt.No. <br /> CLIENT'S SAMPLE IDILOCATION Date Time <br /> V, <br /> -rn3 <br /> 05 <br /> 7,Y2' 06 <br /> r} <br /> >�• �� ` �, µ �� r 776 <br /> h <br /> lnstrue ionslCammentsl5pecial Require en <br /> si <br /> ' � am les Relln he � Sa les celvad <br /> SAMPLE RECEIPT Date Time <br /> Received Cold i Y N �� v <br /> Custody Seals�i Y N l9 <br /> Seals Intact Y N <br /> No.of Containers <br /> Arcuia <br /> bs'terms are- Net 40 (Payment. _must be received by the date shown on the lnvo'ice or any discount is void) <br />