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Billing InOrrin tion c t Alpha Ancal, Inc. s <br /> Name Lh V�8 A lltu A n _ 255 Glendalee,Suite 21 Page#____L_of f . <br /> Address 3 0% af L Df 5ir_ S-T-O Sparks,Nevada 9431-5778 <br /> City,State,Zip C 5 Zit <br /> Phone (775}355 1044 i <br /> Phone NumbernD (-77(w (--OW Fax 520 Fax (775)355-0406 Analyses Required 07991 <br /> Client To <br /> C' ruc)c- I��� Po uoZ033'1S(o ted! <br /> Address �Q PWS# DWA# <br /> 1196 0 0 O+✓1 <br /> City State Zip Phone# Fax# I� <br /> r <br /> ��' Office Use Sampled b RepariAtie ion <br /> Time [)ale Total and type of `� <br /> Sampled Sampled See Key Only f Containers <br /> Below LablDNumber Sample Description "See below REMARKS <br /> os vT 6 6Co 1 rl -Gl -� Aim 5( <br /> 1107 NY0 Dr <br /> I <br /> ADDITIONAL INSTRUC IONS• <br /> tli;X6 rwt I <br /> nature Print Name Company Date "Gime <br /> Relinquished by M p W� 5 A V f(A 4 f I <br /> 42� n <br /> Received by r/ <br /> Relinquished b <br /> c veil by <br /> Relin uis ed by C G <br /> Received by <br /> 'Key AQ Aqueous SO-Sol[ WA-Waste OT-Other "" L-Liter V-Voa S-Soil Jar 0 Orbo T-Tedlar B-Brass P-Plastle 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 lability of the laboratory is limited to the amount paid for the report <br />