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Namely t aht�n<<'�'n Alpha Analytical, Inc. <br /> 4 Sp ks,NevGlendvnue,Suite 21 031,53 A <br /> ddress �� ri f �< Sparks,Ne89431-5778 Page# ofCny,State,Zip (A (� ? Phone (775)355-1044 <br /> Phone Number i'ld 11 It' Fax 61j,-6Wj' Fax (775)355 0406 Analyses Required <br /> Client Name-_ k (� f <br /> 15 f✓t1\ r Lf PO # 0 S 3 1 Swy-�l Jab# y1 15 !S(���—f <br /> Address �f lL ( I t PWS# DWR# lJ <br /> City State Z3piw `L-Atp (A <br /> Phone# Fax# -\ <br /> Time Qate W •y OfficeUseSampled by Report Attention Total and type of s <br /> Sampled Sampled See Ke y i containers Q r~1 <br /> Below fLabIDNumber Sample Description "See below REMARKS <br /> 7_V ,c <br /> Q07 zz <br /> CRU-_'31 -� <br /> -,D 7 <br /> -7_v <br /> 50 <br /> - - ✓ <br /> ADDITIONAL INSTRUCTIONS <br /> Signature Print Name <br /> Company Date Time <br /> Relinquished by i <br /> Received <br /> Reltnquishe by --�� <br /> �ISfl P w LP Rt <br /> Received by <br /> Relinquished by <br /> Received by <br /> `Key AQ-Aqueous SO-Soil WA-Waste OT-Other L-Liter V-Voa S-Soil,lar 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 lability of the laboratory is limited to the amount paid tar the report <br />