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F8733 Rey- C, <br /> Acculabs Inc. Lab Number CrAd <br /> [ <br /> 11046 Olive Dnve Davis CA 95616 530-757-0920 Fax 753-6091 <br /> [ <br /> 175 Suttle St Durango CO 81301 970-247-4220 Fax 247-4227 Report <br /> [ <br /> 14663 Table Mountain Dr Golden CO 80403 303-277-9514 Fax 277-9512 Due Date <br /> [ <br /> 1992 Spice Islands Dr Sparks NV 89431 775-355 0202 Fax 355-0817 <br /> Client Fax Results Y-1 N Page of <br /> Address J . s i �!-,' � !r ` PLI13 IC WATER SUPPLY INFORMATION <br /> City State&Zip - s•" t 7)4M£�r ,rr l System Name <br /> Contact f ti/-c rc ! 7v� � PWS No Report to State/EPA Y N <br />' Phone f 1/ r r� -'t+ Collectors Name 'L't POE No DWR No <br /> Fax C Protect Name ,{'� — t Collection Point <br /> P O Numberr ` lProject Number Ef'!-F S ��u 3 City County <br /> SAMPLE TYPE C60iI �` C Analyses <br /> DW=drinking water TB=travel blank Compliance s= Requeste <br /> WW=waste water SD=solid Monitoring P a <br /> MW=morntonng well SO=soil _ <br /> YN e I _ 6. <br /> HW=hazardous waste SL=sludge n 2 <br /> TURNAROUND TIME REQUESTED T e <br />' <br /> f Standard Lab Manager y r �� ' <br /> RUSH Approval e s x ' Q s H� <br /> Special : t' <br /> tike <br /> CLIENT'S SAMPLE WILOCATION Date Time "� /Spl No} <br /> IVY <br /> ti ` <br /> 06 <br /> 07 f <br /> r Lit I <br /> f•"�/-rte + <br /> Instructions/Comments/Special Requirements <br /> SAMPLE RECbPT €)ate .'Time- Samples Reitnq�fished By Samples Received By <br /> Received Cold Y N <br /> Custody Seals Y N IZ 14�t IQ`�S <br /> Seals Intact Y N <br /> No of Containers <br /> Acculabs, Inc's Standard TerMS air1d Cogdtttoris apply unless written agrbements specify otherwise Paypent terms are Net 30 <br /> To the maximum extent permitted by law the Client agrees to limit the liability of Accutabs Inc for the Client s damages to Ae total compensation <br /> received unless other arrangements are made in writing This limitation shall apply regardless of the cause of action or legal theory pled or asserted <br /> 301 2E <br />