Laserfiche WebLink
Samples Colte�c_ted From Which State? <br /> ing I formattior *. Alpha Analytical, Inc. Az— CA 1 NV— WA_ } <br /> to ` o 255 Glendale Avenue,Suite 21 1p OR_ OTHER Page# t of <br /> ress �d �� +1 Sparks,Nevada 88431-5778 <br /> C Phone (775)355-1044 Analyses Required <br /> v <br /> State,Zip�'�'n�; Fax (775)355-0406 y 0 5 2 69 <br /> ct ne Number Fax <br /> LL int N e P.O. Job u , , Q Required OC Leve!? <br /> o <br /> Press EMail AdMs <br /> �a� , � ��,, &C" Cdr I/ <br /> — <br /> o y St t Zip � Phone itc Sax is <br /> a � ) lO EDD/EOF?YES— NO <br /> Office Use sampled by`�} Lt Rep ne .on C, Total and type of n�JF ' Globar iD r <br /> re Da Matrix' .1_l-L {1 <br /> Key Only containe s f✓` <br /> rpled Sampled See Ke Field REMARKS <br /> Below Lab ID Number Sample Description TA Fuared "See below <br /> 0 <br /> 0 <br /> m <br /> ti <br /> J <br /> d <br /> U <br /> Q <br /> 1IWIONAL INSTRUCTIONS: <br /> Q <br /> a S' nature Print Name Company Dat Time <br /> u2AA 9�- 93.0 o I <br /> E Rel ished by �-- <br />" Received v I (] <br /> (� G <br /> Relinquished by <br /> 0 <br /> 0 <br /> r„ Received by <br /> v Relinquished by <br /> 0 <br /> 0 <br /> Received by <br /> 'Key: AO-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 64 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 />