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17'7 r.� �'I �t F= r'np1r11eC.�.. Fron.-..,iichre? F-� <br /> Billing Information: Alpha Analytical, Inc. AZ CA-& _ _ <br /> Name t. 'jZALA%�C" 255 Glendale Avenue,Suite 21 A — OR OTHER W A Page# f <br /> Address 1;15Q GIRAL- ST N Z 7 Sparks, Nevada 89431-5778 H —Ot— <br /> City,State,Zip t-ZV j�4u(3 1 Phone (775)355-1044 <br /> Phone Number 2S1-L"tQ, Fax Z-s(-'Z YZ Fax p75)355-0406 Analyses Required <br /> Client Name <br /> 0699 -7� PO.a _ Job u <br /> '(C-.r-ACtrnJ G 7(DY j 00(3 O Required OC Level? <br /> Address EMail Address <br /> 4city,state,zip 3 bo � #2 37 Phone u W m CCIV <br /> C tQL{-clyit C.'f1, n t J I 11 III <br /> S,'Af'U 1J\! £irtY,71 3SA -2lo0 3S(-LYZ3 J <br /> Matrix' Office USe sampled Cy Rep_od Atlenlion EDD/EDFI YES_ No_ <br /> Time Date Onl Mc-�iC� .{OE 1"l C6C� Total and type of y Zb J GloballDx <br /> Sampled Sampled See Key ?' -: _-_ _ ..,,_. F.ad containers a- r Q <br /> Below Lab ID Number - Sample Description TAT Fare„d ••See below r S REMARKS <br /> 9`I0:4 (O Zb $d O(cLt1�:1"}Vu-0i �TOGlc � 1 '-2. SI t{ — l P x K Y, ;Iq kr (4-r i 1 <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature Print Name Company Date Time <br /> Relinquished by W .-n . W McCa <br /> acs !C3 1 oY <br /> Received by <br /> Relinquished by ~-tlC Ir afi�U�� 0 <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 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 /> 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 />