Laserfiche WebLink
_.. , <br />• <br />• <br />L J <br />Laboratories, Inc. <br />•. <br />2773 Downhill Drive Steamboat Springs, CO 80487 (aooJ 334-5483 ~ / <br />Name: Address: $'] /{j <br />Company: ~Ite Cn/o ~ !. ~ <br />E-mail ,. b Telephone: Q]Q - ~/- <br />.. <br />Name: <br />Email: q ~ <br />Company: Telephone: <br />Name: Address: <br />Company: <br />E-mail: Telephone: <br />If sample(s) received past holding time (HT), or If InsuHicfenl HT remains to complete . YES <br />analysis before expiretlon, shall ACZ proceed with requested short HT analyses4 N <br />If "NO" then AC2 will contact client for further instructlon. H neither "YES" nor "NO" <br />la indicated, ACZ will proceed with the requested anaysea, even If HT is expired, and data will be qualified. <br />•e e- • • ~ <br />Quote#: NPDBS ~ U ERL JW-CN <br />ProjecUPO #: ~ ` L <br /> <br />ShippingCo.: `?.t(.('Jr e <br /> <br />Tracking#: eZ77$ ~]~ 9 <br />c <br />Reporting state for compliance testin <br />: c <br />g <br />Are any samples NRC Iicensabie material? <br />a • s• s rllaP ~ 2 <br /> <br />00/R & f-'&S SW S / <br /> <br />LGSC &/ro!o y'vr Sw ~ <br /> <br />Nuasc. 8/ib/oy ~rvo Sv (. <br /> <br /> <br /> <br /> <br /> <br /> <br />Metriz SW (Surface Water) ~ <br />GW (GmurM Water) ~ W W (Waste Wabr) ~ DW (Orlnklrq Water) • SL (eludpe) • 30 (Sod) ~ OL (Ofl) ~ Olhar (SpacNy) <br />1 <br />SCC 4 ,u0'kS / Otto/fir {. (,'4~ PuYantL~}CYj <br />oo.1A - NPDES <br />L6st, ,a,/QGSC - Qt•ur~`/J~' ,~,.~~ta (.t$t~cr ~T~ - D~ <br />• a e • e : e • page <br />0 <br /> Of <br /> 7 <br />FRMOA021.12.03.06 <br />White • Return with sample. <br />Page 17 of 23 <br />