Laserfiche WebLink
Billing Infor n Alpha A llcal, Inc. <br /> Name �� lJ-5 255 Glendallwue,Suite 21 Page# of <br /> Address Sparks,Nevada 89431-5778 _ <br /> City,State,Zip �Wl�YO�L/ Y �'Gi/ Phone (775}355-1044 Analyses Required <br /> Phone Numb Fax Fax (775)355 4446 Yl <br /> crrent Name PO # Job# <br /> Address S � PWS# SWR# ' <br /> c N <br /> City State Zip Phone# Fax# <br /> -5J 0 two A/ Y fl <br /> fes" Office Use I Sampled W ` <br /> ReportAtientioTotal and type <br /> ofTi Date o"iy J <br /> Sampled Sampled SeeKey containers <br /> Below Lablt)Number Sample Description See <br /> t <br /> belowREMARKS <br /> ODY A) -� lr 1�6A k x <br /> ��� `,(( <br /> ryry { r. <br /> y A4 A/ L6 tVt' <br /> V,7 <br /> 133 %[L30 <br /> !%J, ti <br /> ADDITIONAL INSTRUCTIONS <br /> Signatur Print Name I Company Date Time <br /> Relingmshej 11id <br /> f �, S /L/—G• -�t�-c`J Y j <br /> Received try r <br /> r <br /> Relinquished by <br /> Received by [ <br /> Relinquished by J Ij <br /> Received by <br /> "Key AQ-Aqueous SO-Soil WA-Waste OT-Other "" t-titer V Voa S Sod Jar O Orbo T Tedlar B-Brass P Plastic OT-Other <br /> NOTE Samples are discarded 60 days after results are reported unless other arrangements are made Hazardous samples will be returned to client or disposed of at client expense The report for the analysis <br /> of the above samples is applicable only to those samples received by the laboratory with this coc The liability of the laboratory is limited to the amount paid for the report <br />