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t:titttng Information Alpha An tical, Inc <br /> Name SIAWW Enid 1 CAN McNf AL 255 Glendale e,Suite 21 <br /> Address 3330M6a1(Q N " � -P S Sparks,Neva 431-5778 Page# of <br /> City,State,Zip Ci Ko fy tffcpL 5 Phone (775)355 1044 <br /> Phone Number O0_04'_ Fax 1 0 6 00 Fax (775)355-0406 Analyses Required 07993 V <br /> Client Name <br /> JOV's Tcycx P("4YP PO # Job# <br /> Address PWS# SWR# <br /> 1560o S ��tt,vra:a Qo <br /> City State Zip <br /> y A,rii&d F ' CA Phone# Fax# <br /> Elf 30 X36 on� s o bat boor <br /> Time Date Mft* Office Use Sampled by n tteponAttention <br /> Sampled Sampled See Key only li- t 1,V 5, �7 (: Tota!and type of =t cq <br /> Below Lab ID Number Sample Description `coSeebeel� REMARKS <br /> L�tsl tIZS pT bItCO`i -6l 1NF Air- I-T K X X <br /> t;�1r� ItZ3 �T <br /> 02, C-F F STD TAT <br /> ADDITIONAL INSTRUCTIONS• <br /> Signatu Print Name Company Date Time <br /> Relinquished by <br /> Receivetlby 'rQ.ip►7VS ENV <br /> Relinquished by <br /> Received by 1 <br /> Relinquished by V 7 1Z <br /> Received by <br /> "Key AO-Aqueous SO-Soil WA Waste OT-Other L-Liter V Voa S Soil,far 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 />