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Alpha Analytical, Inc, <br /> Name � 7�i Cyt r� �� f, 255 Glend nue,Smote 21 -� <br /> Address 7, 1 e �s ,( � Sparks,Nov 9431-5778 <br /> Page# of • <br /> City,State,Zip_( Phone (775)355-1044 <br /> Phone Number '-1_11 ''.1 Fax lt If, U,'.i Fax (775)355 0406 Analyses Required <br /> Client ntame y P O q Job Il <br /> Address _ <br /> r Pws p <br /> DWRti <br /> City,State Zip "— <br /> t Phone tt Fax# �. <br /> Time Date Matra' Office Use Sampled by ReporiAtteniion <br /> See Key only t t t TotalandtypeaI <br /> Sampled Sampled <br /> tainers <br /> Below Lab ID Number con <br /> Sample Description 4eebelow -�± — REMARKS <br /> lb7 7-V <br /> V^ V TAS <br /> i <br /> � it ,� �✓ 3 t3v-o-tc� <br /> Vor <br /> 7`1 �' <br /> � <br /> 14 -7-V �/ (/ LOOOO <br /> ' CST ✓ ✓' 4-^ <br /> 31 <br /> ADDITIONAL INSTRUCTIONS <br /> Signature Print Name Company <br /> Relinquished by �.s� (1 p Y Date Time <br /> AM <br /> Su 9A <br /> Received by <br /> 1 � <br /> Relinquished by OLRtfA L, <br /> Received by <br /> Relinquished by <br /> Received by <br /> *Key AQ Aqueous SO-Soil WA Waste OT Other ** L-Liter 1/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 />