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Billing I f rmation: Alpha lytical, Inc. <br /> Name �` 255 Gien venue,Suite 21 <br /> Address v Sparks,Ne da 89431-5d778 Page# of <br /> City,State,Zip Phone (775)355-1044 }� <br /> Phone Number .7 ��ax Fax (775)355-0406 Analyses Required Y <br /> Client Name , -5 r RO.# J b# + <br /> Address PWS# DWR# <br /> City,State,Zip . Phone# Fax <br /> Time pate Office Sampled by /J ReportAttention � � <br /> Sampled Sampled See Key y (� ocontame�eof / <br /> Below Ubl0Number Sample Description -Seebelow REMARKS <br /> -4_3z I-jz <br /> ADDITIONAL INSTRUCTIONS: <br /> I <br /> re Print Name Company Date Time <br /> Relinquis by /L( z <br /> Received by \ CJZ 1 d <br /> Lfl <br /> Relinquished by <br /> dP <br /> tRereived <br /> ell i <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 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 />