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t3titing I rm ion: Alph aly#kcal, Inc. <br /> f , <br /> Name 255 Gle Avenue,Suite 21 � <br /> Address L� Sparks, ada 83431-5778 Page#- of <br /> City,State,Zip Ge Phone (775)355-1644 <br /> Phone Number lFax Fax (775)355-0406 Analyses Required <br /> Client Name <br /> �/J i 14 <br /> IC✓ P.O.# <br /> Address J17` y✓ <br /> PWS# DWR# F <br /> t J� <br /> City,State,Zip <br /> Phone# Fax# nl\ <br /> Mat* Office Use Sampled b <br /> Time Date See Ke Y p y�/y��.Lr ReporlAttemio Tote e�eof � J J "� 7 7�� 5 <br /> Sampled Sampled y Or'I t 1.� <br /> Below G Lab <br /> abI Number 1 G Sample Description "Seebelow REMARKS <br /> ✓ <br /> jV <br /> lift <br /> <3 y4kl-q V <br /> ADDITIONAL INSTRUCTIONS: <br /> S n Print Name <br />` Relinquished / Company Date Time <br /> I Received by . �I L 1 z' - 13 LI-0 <br /> Relinquish by r/ �� ��Z'~ 3 G p <br /> Re iv by — <br /> Relinquished by <br />� Received by <br /> i <br /> 'Key: AO-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 /> MOTE: 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 />