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T <br /> Billin ,infor n: _ / / Alpha Afttical, Inc. E� - <br /> Name ti �G��' `'"'''G'�4, 255 Glenda nue,Suite 21 <br /> S arks Nevada 89431-5778 Page# of <br /> Address 3U 1[.yN,��^v r� DR <br /> p <br /> Phone (775)355-1044 <br /> City,State,zip ,. C Analyses naRequired <br /> A , <br /> Fax (775}355-0406 Y <br /> Phone Numbe J17 7&- Fax tz �� ��� _/ / <br /> P.O.# Job# <br /> Client N <br /> i e�j� y�. <br /> •Gi 0 A—_ ti <br /> Address PWS# DWR# <br /> City,State,Zi r <br /> ee Phone# Fax# <br /> / Office Use Samptedb Report Attention Tolaland eof <br /> Time Date 4 <br /> SKey <br /> y Only contai ers _ �� [ J <br /> Sampled Sampled <br /> Below Lab IDNumber Sample Description "See below REMARKS <br /> U o�� °Z� ' U( /._ (qtr <br /> Ell <br /> ADDITIONAL INSTRUCTIONS: <br /> Si uta✓., Print Name Company tate Time <br /> Reiinqui by E� <br /> Received by /�,�• GLvL� G , `1�l�tL,�ir�^-L� �:IS 611&103 <br /> Relinquished by -{ <br /> R c i e b <br /> Relinquished by <br /> i <br /> Received by <br /> 'Key: AQ-Aqueous SO-Soil WA-Waste OT-Other ": L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar 13-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 />