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Billing InA <br /> rmation: — Alpha Analytical, Inc. <br /> Name �%' chi "�,c1r '31 255 Glendale Avenue,Suite 21 Page# of ' 3385 <br /> r" Sparks,Nevada 89431-5778 <br /> Address �1�) �w' �w(�. J <br /> City,State,Zip Alak-'115" �- Phone (775)355 1044 Analyses Required <br /> Fax (775)355-0406 Y q <br /> Phone Number Fax <br /> Client NameQ L J P.O.# Job# t <br /> Address -7 r PWS# DWR# <br /> City,State,Zip (/ p{ CA- Phone# Fax# <br /> Maw* Office Use Sampled by- Report Attention / ,r Total and type of CJ <br /> Time Date Only �C t` �; iw <br /> Sampled Sampled See Key y containers � � t f•, <br /> Below Lab IDNumber Sample Description '*See below REMARKS <br /> 102�2 _ 1. 17 <br /> /5 nes n' <br /> 1 �a <br /> - PF 0i��� <br /> ADDITIONAL INSTRUCTIONS: <br /> Signa .re Print Name Company Date Time <br /> Relinquished by • A ' ,, <br /> Received by <br /> ppff <br /> Relinquished by <br /> Received b Q CA <br /> n 2I/c 12A 5 <br /> Relinquished by C <br /> Received by <br /> *Key: AQ-Aqueous SO-Soil WA-Waste OT-Other **: L-Liter V-Voa S-Soil Jar 0-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 /> M tha nhm/c,camnlac ie annlirahlo nnly to thnca camnlac raraivarl by tha lahnratnni with this rnr, Th,-liahilihi of tho lahnrntnni ie limitari to tho mmniint nairl fnr tho r—ri <br />