Laserfiche WebLink
Billing nform tion: — Samples Collect From Which State? <br /> r Alpha Analytical, Inc. az_ cav— wa <br /> Name 3 A et �' <br /> �� 255 Glendale Avenue,Suite 21 ID OR OTHER Page# of <br /> Address �� J' Sparks, Nevada 89431-5778 <br /> City,State,Zip ����7�' as — /(J Phone (775)355-1044 13906� <br /> Phone Number V- '� Fax Fax (775)355-0406 Analyses Required <br /> Client Name ' J�'A � z P.O.# Job# <br /> Ll ft `I ( J 51)z Z0 Required QC Level? <br /> Address EMail Address <br /> 35 �u., �� � 1 11 11► IV <br /> City,State,Zip! Phone# Fax# EDD/EDF7 YES_ NOMatrixOffice Use Sampled b / Report Attention LL rrTotal and type ofTime Date Onl US S ur7 �' J1111Sampled Sampled See Key y containers iv� <br /> Global ID a <br /> Below Lab ID Number Sample Description TAT F'lered "See below REMARKS <br /> '�:I OIL so g -OI - ,- 5, I ./ ill m <br /> A5: I017- 5Q -w 6-1-5 i I I- <br /> dint, 4 <br /> 61 <br /> 11' J S a6-9-51 lesuik / <br /> ADDITIONAL INSTRUCTIONS: <br /> gnatur Print Name <br /> Relinquished by Company Date Time <br /> moi_ jL �0 <br /> Received by <br /> P <br /> Relinquished by Io-n- <br /> (0 <br /> Received by (; _ <br /> Relinquished by I a <br /> Received by <br /> 'Key: AQ-Aqueous SO-Soil WA-Waste OT-Other ": L-Liter V-Voa S-Soil 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 /> M+he mak, --l— --h,4- ____1------4_1 L..aL_ <br />