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s <br /> Billing IgiWation Alpnalyttcal, Inc <br /> Name --... a�y`� �� ��11MIZ.Yt _ 255 ale Avenue,Suite 21 <br /> Address _;__373 0 �6.VVW Y'0 V) r&Y k IS(- ,+ —,5-0 Sparks,Nevada 89431-5778 Page# of <br /> City,State,ZipPhone (775)355-1044 a <br /> Phone Number�`E?0) 67�_�!L#gFax(5-301G-7& C'Cv� Fax (775)355-0406 Analyses Required U7 AL <br /> Client Name PO # <br /> 3Ct r� �'fv��C �t � �;� Job# <br /> 4 <br /> Address // '2—o�"�—Iy��v01 <br /> A4 v fLt N c-c"Qj PWS# DWS p �u <br /> je <br /> City State Zip�Yv � t� Phone# Fax# I+, <br /> J <br /> Office Use SampledybW ! t � ReportAttenlionTime Dale See Key Only Total and type of <br /> Sampled Sampled <br /> l Mainers <br /> W <br /> Below Lab ID Number Sample Description "See below REMARKS <br /> bd �°laa Aa <br /> ADDITIONAL INSTRUCTIONS. <br /> E32�AAlk " � -A i <br /> ]] i nature Print Name Company Dale Time <br /> Relinquished by `A� &A' . <br /> Received b <br /> f ' <br /> y <br /> Relinquished by t y f <br /> Received by <br /> Relinquished by <br /> Receivod 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 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 />