Laserfiche WebLink
Billing i f torr t n Alpha lyttcal, Inc. <br /> Name S ��tr.!�OYI�MR,ri�+-� 255 Glendale Avenue,Suite 21 Page# of 1 <br /> Address '313 O 124AM.Arom F6k hr &+&SIM Sparks,Nevada 89431-5778 <br /> City,State Zip 4'Zxph 7p&_'' t Ltd C 5 91-z_. Phone (775)355 1044 <br /> Phone Number651FAG ��(dO F o 7G 9— Fax (775)355-0406 Analyses Required 07992 <br /> Client NarnePO # Job# <br /> t <br /> a "e Ic— Pl� � 2033-119-400-01 <br /> Address PWS# DWR# <br /> SG o o /A-r /4K Roc`M A <br /> City State Zip Phone# Fax# h I h <br /> La- o C-4 yJ <br /> fes* Office use Sample by RepartRttentrorE <br /> Time date Total <br /> Sampled Sampled See Key Only d� M �t rJ containers MIN <br /> BelowLab ID Number Sample Description See below W REMARKS <br /> (6o (rl el , V <br /> Qw�oq~o f M W_7 X X <br /> i=:_ <br /> ADDITIONAL INSTRUCTIONS. <br /> i nature Print Name Company Date Time <br /> Relinquished by A O 4 / <br /> Received by �� U <br /> Relinquished by <br /> Received by ZAQ <br /> 7 1,55 <br /> Relinquished by <br /> Received by <br /> *Key AQ Aqueous SO-Soil WA-Waste OT-Other ** L Liter V-Voa S-Sod 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 far the analvsis <br />