Laserfiche WebLink
aunr+g iqrvrma[ton AiphaA al cal, Inc .� <br /> Name v 255 Glen venue,Suite 21 . <br /> Address L1 �c ✓1�i✓rr! / Sparks, a 85431-5778 <br /> Page# of <br /> =J=-- <br /> City,State,Zip C6t_L <br /> Phone (775)355-1044 ' <br /> Phone Number15VLAi 45-nj Fax i(CZJ L. Fax (775)355-0406 Analyses Required 0837 ,i� <br /> s <br /> Client Name J(T 705 r J Pp # <br /> 1 y L 't 71& Z Job# <br /> Address J 1 PWS# DWR# <br /> City State Zip / Phone# Fax# <br /> �.C.r�✓r9 'V 3' � � �l� <br /> Time Date Malrx. OffiJniy se Sampted by/J L ReportAttenti .1 �� <br /> Se Totaland lypeof (J <br /> Sampled Sampled y {j T containers 1_ �( <br /> Below LahlDNumber 5amplet]escnption "Seebelaw �1 .1�{ ` REMARKS <br /> (V92 -03 ryi w -3 <br /> Uu3 -o,,- Mw - 5- 5%V JI'L_ x k S4 x <br /> �9Nom - yV Sc SC <br /> 5� -tom wo C6LV X �- <br /> _ Mwo `Sy v <br /> M w 0 Y z i=V K <br /> ADDITIONAL INSTRUCTIONS <br /> na re Print Name Company Date Time <br /> Relinquish <br /> e y &_ <br /> v v'h`fUs ` j�v 3d <br /> Received by(7�z LISA Ll.3, c> <br /> Relinquished <br /> Received by fie,, jl f <br /> Relinquished by <br /> I <br /> Received by <br /> I <br /> 'Key AQ Aqueous SO Soil WA Waste OT Other L Liter V Voa S-Soil,lar 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 analysts <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 />