Laserfiche WebLink
AlpnaAijue,ical, Inc <br /> Name -°7�, 255 Glendal Suiie 21Address 31 M tIz .l �ci �)r #iso Sparks,Nev431 5778 Page# of 03151 <br /> City,State,Zip rt, . rrwPhone (775)355-1044 <br /> Phone Number��i .C +� Fax 2- Fax (775)355-0406 Analyses Required <br /> a <br /> kSampled <br /> ame t fU i PO # r7 Job# <br /> + PINS DWR# <br /> te Zip <br /> J j� Phone# Fax# � <br /> v1 <br /> pate �� Ottice Use Sampled by Report RttenUo <br /> Only <br /> �u• Total and type of c� <br /> Sampled See Key containers C3 t^ ; <br /> + Below Lab ID Number Sample Description �J ,, <br /> "Seebelow REMARKS <br /> l <br /> T Z 3 !-71— <br /> '4 F3"ActA, <br /> '41P CPT I —3 le <br /> 1 <br /> 'L�j 'P"'5- <br /> 3 -Lre� 60T .1z TV <br /> D� 5A 5o -4(A Cpl �-ft 1- <br /> 136 5 j to 5th -Q� (PT —71 <br /> )— <br /> 5 lDO <br /> 17 � l —eg) 0—g-3 <br /> jqj! _) q#jTs- <br /> ADDITIONAL INSTRUCTIONS <br /> Signature Print Name Company Date Time <br /> Relinquished by / <br /> Received by f <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> "Key AQ Aqueous SO-Soil WA Waste OT Other L-Liter V-Voa S-Sotl Jar 0-Orbo T-Tedlar B-Brass P Plastic OT-011her <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 /> N <br />