Laserfiche WebLink
antirlg I t` rm ion: Alpha A tical, Inc. . <br /> Name 255 Gleed nue,Suite 21 <br /> Address u Sparks,Nev 89431-5778 page# of <br /> City,State,Zip Phone (775)355-1044 y <br /> Phone Numberax . I1Nl/�li' ! <br /> Fax (775)355-0406 Analyses Required—L"9 <br /> Y <br /> Client Name G P.O.k J b a <br /> Address �./ � <br /> Pws# DwRa <br /> City,State,Zip �Q Phone# Fax# <br /> Time Date Matr�' Office Use 5ampledby� �� Repo:<Attention �L!/� I Total and type of ( '�J <br /> Sampled Sampled See Key only containers <br /> Below Lab IDNumber Sample Description "Seettelow REMARKS <br /> 73Z 1-1 Z <br /> tz30 d - - <br /> i <br /> ADDITIONAL INSTRUCTIONS: <br /> re Print Name Company Date Time <br /> Relinquis by <br /> Received by <br /> Relinquished by <br /> R ei ed by / <br /> Relinquished by <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 those samples received by the laboratory with this coc. The liability of the laboratory is limited to the amount paid for the report. <br />