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RES 418117 <br /> Due Date ..ta <br /> Due Time R te r •-ILJ Reset-v.'si/-'S EE,viir-o,,rrrerp td//. /roc_ Je n- <br /> -111.1...."--- - ..,- --• . . -4275•Toli Free-Bob kESi-err'' Page 1 of f <br /> After Hours Cell Phone:720-339-9228 <br /> SUBMITTED BY: INVOICE TO: (IF DIFFERENT) CONTACT INFORMATION: <br /> `'"'�""r Colorado Analytical Laboratories,Inc. com><' Stuart Nielson <br /> 240 South Main Street "'°" P"°" 303-659-2313 <br /> Bnghton CO 80601 • Fa• Fa. <br /> Calupager Ceuroag«i <br /> Prosed Number and/or Poe Final Data Deliverable Email Address: <br /> Protect 0escnpt.oruloca.on stuartnielsonta�coloradolab coin <br /> ASBESTOS LABORATORY HOURS:Weekdays: 7am-7pm&Sat.Barn-Spm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES: <br /> PIM I PCM I TEM RUSH iSame Day)_PRIORITY(Next Day) ](aSTANDARD(3-5 Day) o Alf=A Bulk=B <br /> (Rush PCM=2hr,TEM=6hr.) \ 3 Dust=D Paint=P <br /> CHEMISTRY LABORATORY HOURS:Weekdays: Ilam-6pm 4' ✓ Soil=S Wipe=W <br /> Metal(s)I Dust" _RUSH_24 hr _3-5 Day m 6 $ ? $ b Swab=SW F=Food <br /> "Prior notification is <br /> RCRA 8/Metals 6 Welding as S ! o m ' Drinking Water=OW Waste Water=WW <br /> Furred Scan I TCLP'• _RUSH(3 Day)_5 Day_10 Day required for RUSH 16 — p <br /> Nave rounds.•' <br /> c O=Other <br /> Organics 24 hr _3 day_5 Day 1' 1 il 8 ,- v W ASTM F t?q;approved wipe mead/only— <br /> MICROBIOLOGY <br /> nly <br /> w n O ( 4 F i <br /> MICROBIOLOGY LABORATORY HOURS:Weekdays: lam-6pm g 0 o d 5-i 4 _ <br /> E.coll and/or Coliforms* 24-48 Hour Other:_ r�'rn v s ' <br /> y i o $O g w <br /> Pathogens' _24-48 Hour o M = m 3 6 <br /> 'TAT dependsnt on speed of c) ° rn w „ a a U Z 4 0 <br /> Microbial Growth' 5-10 Day microbial�h. 8 _ o m g N 8 n g m < o <br /> Legionella 10 Day a o 5 .n o - ori 2 13..e V To i a, N c <br /> Mold _RUSH_24 Hr_48 Hr_3 Day_5 Day ` 4 ? i`r m w � N 5 g 8 c,3 ` 2 ' <br /> 4 o <br /> Turnaround times establish a laboratory priority,subject to laboratory volume and are not a q a (4 2 m ° m m z ? ? n <br /> ¢ ;,,z, m i d t i , m n m ? a . rd ori <br /> guaranteed.Additional lees apply for afterhours,weekends and holidays." A 1 o 2 H E.,,-, d o a• c m o a > 8 c <br /> Special Instructions: a n •r <v a a'o ci $yr f m' ° e 1.", o x' B Date Time EM Number <br /> i ! m 1 a r-re tl tflables > E w U Collected Collected (Laboratory Use Only) <br /> Client sample ID number (Sample ID's must be unique) n W o o s MICROBIOLOGY H to f * mm.da ys nNmrn al) <br /> 1 180912W-01D MW-3 X 1L O 1.9/112014 920 ' Ih3�06S <br /> 2 . <br /> 3 <br /> 4 . <br /> • <br /> 5, <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> Number of samples received I (Additional samples shall be listed on attached long form) <br /> NOTE:REI en analyze incoming samples based upon information rece.yed and we not oe responrobte for Mare or omauons m calcuiabons restating from the naccuracy of onplai data By sprang dten5ieontpany/epesenlatrve agrees Mat subm.sfon of Me following samples for requested analysis as indicated <br /> or era Chen of Custody shall constitute an enalyW.al servtaes agreement wee payment terms of NET 30 days.failure to comp)/w.a,paynroM terms may mutt n e I 5%monthly interest surcharge <br /> ,,/A �./ /,, �j rte' / <br /> Relinquished By; -i i� �f /� / - D a Date/Time [ / /f(, l /�✓ Sample Condition On Ice S d� Intact <br /> Laboratory Use O'_,qy� c) 6 Hand / edE // UPS I USPS / Drop Temp (P) Yes/No Yes/N i Yes r No <br /> Received By ` t S (1B DatelTime. —/112-l i 0 loop Carrier H6k / Courier <br /> Data Entry Contact Phone Email Fax Date Time Initials Contact Phone Email Fax Date Time Initials <br /> GA: <br /> Contact Phone Email Fax Date Time Initials Contact Phone Email Fax Date Time Initials <br /> \ 1-2017_version 1 <br />