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[)r" 0 <br /> , <br /> Billingi or�n Alpha A tical, Inc <br /> Name 04 IV7 G 255 Glendale Avenue,Suite 21 Page # —of T__ <br /> Address i, u jL Pz Sparks,Nevada,89431-5778 <br /> City,State,Zip eV,vr/VI Phone (775)355-1044 <br /> Analyses Required <br /> � .��� Fax (775)355 0446 <br /> Phone Number h�v� y�(J�P`��Fax G, <br /> GUM Name PO N J N �_ <br /> Vii l y <br /> Address PWS# DWR N <br /> City,State,Zip VEL t';"IPhone N Fax N <br /> Time Date Maw' office Use Sampled byCo f LL ReportAttenllon j/ Total and type of <br /> Sampled Sampled See Key Only containers <br /> Below Lab 10 Number Sample Description "Seebelow REMARKS <br /> ADDITIONAL, INSTRUCTIONS <br /> S re print Name Company Date Time <br /> Rebnquishe t <br /> Received by �. Y I.L l <br /> Relinquished by <br /> Received by <br /> Rebnquishe by 11 <br /> Received by <br /> 'Key AQ-Aqueous SO-Soil WA-Waste OT-Other L-Liter V-Voa S Soil Jar O 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 ihnvi3 samnlnv Ic nnnllrnhla nnly in thncn oomninc ranmwnrl}.v 0—Inhnrns— tk lik" , <br />