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Billing Inf rra/tio r� Alpha Analytical, Inc. <br /> Name �4 i" Mt`t r `fie , 255 Glendale Avenue,Suile 21 <br /> Address <br /> X35 yv C>"me+an f�Ar� nrrt Sparks,Nevada 89431-57713 Page# ofi <br /> 1 <br /> City,State,Zip MM n PAYK (fif 15692— Ai Phone (775)355-1044 <br /> Phone Numbe ]� ) Pax 55P '76 Fax (775)355-0406 Analyses Required <br /> Client Name c P.O.41 Job 41 <br /> 115 A�S� ►'� �`►'� 2aa57-pGS=a1 <br /> Address Pws# DWR a N <br /> 30 unW (C)LIN - X200 <br /> City,stale,zip P e Fax# �. Q <br /> MA-'& �U c P,gt�a1 �L 67�- 6Fpj {5 76Zc S' • <br /> Time Date = OftOnUse 5ampiedhy 5Loyt,r J] RepodAtterrtion V �oW7+°I TOtalar�diype0i y .h�v� <br /> Sampled Sampled See Key Only i• ID111Mers O ,�j <br /> $elpw Labl0Num17er Sample Description "5�tlelow R1rMAF31CS <br /> 614 Sa 000.5 I - o MW iv 5 es <br /> S14 so 02- Mw+Q —0.5 & x K <br /> MW2 — W, f DS X <br /> Srb o s s. 74 <br /> 5 50 Soil, bavm f f co;rAps17-e ra$ <br /> 4s— <br /> A <br /> ADDITIONAL INSTRUCTIONS: ' <br /> Signature Print Name Company Date Time <br /> Relinquished by SC � [l. !� s6DI ]�f r � s +iVdh wt P.r�t S ,' fq <br /> Received by hnlv-114 Ll,�� EfM7 <br /> Relinquished by <br /> Received by <br /> Retinquished by rF�G <br /> Received by <br /> 'Key; AQ-Aqueous SO-Soil WA-Waste OT-Other ": L-Liter V-Voa S-Soil Jar 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 chose samples received by the laboratory with this coc, The liability of the laboratory is limited to the amount paid for the report. <br />