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Billing Inf r ation: — Alpha Analytical, Inc. <br /> Name �a W ; s kA 255 Glendale Avenue,Suite 21 Page# of/ 9 8 <br /> Address l0_5 * V,f-, IU , Sparks,Nevada 89431-5778 <br /> City,State,zip Q Phone (775)355-1044 <br /> Phone Number Fax Fax (775)355-0406 Analyses Required <br /> Client Name <br /> A ( IV,) , ��r• P.O.# Job# <br /> Address (j I 5 J r VW PWS# DWR# J <br /> City,State,`zipp ` II Phone# Fax# <br /> Time Date Maw* office Use Sampledby u_� Report Attention Total and type of <br /> Sampled Sampled See Key Only �1 a G" containers <br /> Below Lab IDNumber Sample Description **Seebelow REMARKS <br /> tA v 31-Rao to (- 13,I I - <br /> )A <br /> 15:31 IJ-1, - <br /> P-3 I /'� v' ✓ h <br /> ;�,1) =�- I'L' ✓ .ice SRtm <br /> 11,5 �� 0 �- ► V, v- PI..'lvu✓l. <br /> ADDITIONAL INSTRUCTIONS: <br /> _,_.SignatVT Print Name Company Date Time <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> Relinquished by <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 /> of the above samDles is aDDlicable onlv to those samnles rer"eived by tha lahnratnni with this nnr Tha linhility of fho lahnrn+n..,;, +„41— — { -aL_-_.-_.i <br />