•
<br /> RES 418119
<br /> Due Date ____ ,/
<br /> Due Time _ cs" masala fiteSE?1,--tt✓O/i-Ai EI7Vl/-c317/77e/7r�/. //7C_ Job#
<br /> -tan81 Darwar COeo211+•Ph 3035.4-8e84•Faa36 • -. . .. Page 1 of
<br /> After Hours Cell Phone:720-339-9228
<br /> SUBMITTED BY: INVOICE TO: (IF DIFFERENT) CONTACT INFORMATION: CAL Task No
<br /> ' • Colorado Analytical Laboratories, Inc. C'"'"' Stuart Nielson Contac,
<br /> 240 South Main Street "h°"" 303-659-2313 phone 180911125
<br /> Brighton CO 80601 Fax
<br /> Ceivpeoer
<br /> Prglw Nucor.,,endior P O a 2354-01 Final Data Deliverable Email Address A R f
<br /> Pfeted I• • is or"'°n Mill Iron stuartnielson(coloradolab corn
<br /> ASBESTOS LABORATORY HOURS:Weekdays: 7am-7pm&Sat.Elam-5pm REQUESTED ANALYSIS VALID MATRIX CODES LAB NOTES:
<br /> Pl M/PCM/TEM • Ubli,,Same Day)_PRIORI'v(Next Day)J....STANDARD(3-5 Day) _o A.r=A Bulk=b
<br /> (Rush PCM=2hr.TEM=6hr l 3 Dust=L Paint=P
<br /> t
<br /> CHEMISTRY LABORATORY HOURS:Weekdays: Barn-5pm . o a Is r Sod=S Wipe=W
<br /> Metals)r Dust" _RUSH_24 to 3-5 Day a l E w: g 0 Swab=SW F=Food
<br /> "Proof notification is o a
<br /> RCRA 8 I Metals&Welding O g n ;, 'O �, P irking Water OW Waste Water-4'>^7i
<br /> RUSH(3 Day)_5 Day_10 Day required for RUSH
<br /> Fume Scan 1 TCLP" — a
<br /> turnarounds c E o _w 0=Other
<br /> Organtcs . ..-,., :..-:,; < m uai S 0>b" u Ili
<br /> _ `F
<br /> MICROBIOLOGY LABORATORY HOURS:Weekdays: 9am-8pm , o o a _ ,2
<br /> • E.cob and/or Coliforms- 14-4i-,, Other: _____ _ m . Og a o w w
<br /> ' Pathogens' 24-48 fou, tS V i I I . e • Y 1 8 7 8 ' +,►_•
<br /> 'TAT dependent on speed of c7 I y a q O �o a
<br /> Microbial Growth' 5-10 Day 0 t u m € n < O m 1
<br /> microbial growth' , — g :,N $ o t fS o
<br /> Legionella _10 Day 15. !2
<br /> !2 iICC �,. `i6 - o o V - m 5
<br /> U ll Q m �
<br /> Mulct ^i•.,-,i, lig a6 sir 3 Day S Gay �.1w _o. i5 $ I p u_ n o e -
<br /> "Turnaround times establish a laboratory priority,subject to laboratory volume and are not l S ..,--i.4 .7_,,, = 3 11 I T. yy ,i x Z E
<br /> guaranteed.Additional fees apply for afterhours,weekends and holidays." I i S w u Y 'ill `l` tgQ o h ""Er 4' o w b U
<br /> Special Instructions " `a z iia O O w rn 4 I i aJ X 1 Date Time
<br /> I EM Number
<br /> i H a u _--- E 4 U Collected Collected Laboratory Use Only)
<br /> Client sample ID number (Sample ID's must be unique) �=f 0 ; o f" e MICROBIOLOGY ori rn ar ,oej,y
<br /> 1 180911125-01F MW 1 X 11 0 1 9/11/18 •
<br /> ..
<br /> 2
<br /> 3
<br /> �.._ L -- I • I_ i_ I i 1 __.
<br /> 5
<br /> r---1.-------r t
<br /> 6
<br /> 7
<br /> 8 i i 1
<br /> �. i__L --1
<br /> 91 1
<br /> ,o H ,__. I__1 ----77-7-1---
<br /> - �— -- — I 1 1
<br /> Number Of samples received y i Additional samples snail be;isle'on attached long form.)
<br /> NOTE:REI wit'sna`r'e incommw Sr-.."- •.,see,poo ii,%mtaeed roweled end wa not be reappnsida for errors of onsshions in calcuiahuns restating horn the macCuracy of ongmal dare By signing Clienhconrpany representetuw wan Mal subnussiCO of the following samples for requested analysis as rrrmvn,''
<br /> On Mia Cha., , ro 000 r r,..•• , •-,oue agreement we,payment Marna of NET 30 daysrewire to Comply 00th payment/sans may rewit m a 1 5%monthly interest surcharge
<br /> r, ��T r
<br /> Relinquished By: I % • Date/Time 1`/? I S Sample Condition On Ice Sealed
<br /> Laboratory Use Ortt' _ �. Hand / ed UPS I USPS / Drop Temp (F°) Yes/No Yes/No Yes/
<br /> ,�4``1 y b l Date Time /Z I (0 Gamer x I Courier
<br /> Data may Cost:n• Pnone Email Fax Date Time Initials Contact Phone Email Fax Date Time Initials
<br /> OA
<br /> Contact Phone Emad Fax Date Time Initials Contact Phone Ernad Fax Date Time Initials
<br /> 1-2017 version 1
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