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Samples Collec rom Which State? <br /> Billing Information: Alpha Analytical,Inc.Q L AZ CANV WA <br /> Name 255 Glendale Avenue,Suite 21 1D OR OTHER <br /> Address Sparks,Nevada 89431-5778 <br /> Ciiy,State,Zip ( Phone (775)355-1044 <br /> Pne Number <br /> ��j ZC2, ��`' r Fax Z p Fax (775)355-0408 Analyses Required <br /> ho <br /> Client Name—!�,j TY D i C- /' PO Job it Required 11 Level? <br /> Address 2A/T I 'U t E i� ®� — r�(F [cr•C - r rr rrr ry <br /> City,S .Zi r Phone 4 ax !�\ EDD/EDF7 YES_ W— <br /> le� �j SGS 'Z 1 <br /> Time bate Malrb* S��tM Report Attention Total SypS Global rD <br /> Sampled Samoed eeeloKey Ip Number { u5°"o Sample Description TAT F= See below REMARKS <br /> ALL meu� <br /> Z[L(4sk <br /> ADDITIONAL INSTRUCTIONS: <br /> ignature Print Name C Company Date Time <br /> p� <br /> Relinquished by � ' J lC E� GWS (� .} g l$ ; C_ 67 •'LLV <br /> Received trysni <br /> Relinquished by <br /> fleceived by <br /> Relinquished by <br /> Received by <br /> 'Key: AQ-Aqueous SO-Soil WA-Waste OS-Other AR-Air "': L-Liter V-Voa S-Soil Jar O Orbo T-pedlar B Brass P-Plastic OT-Other <br /> NOTE: Samples are discarded 60 days atter 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 alcove 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 />