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Billing tion: AlpflleVAvenue, <br /> lytical, lric. <br /> Name s t� 255 Suite 21 <br /> Page# o <br /> Address CAL Sparks,Nevada 89431-5778 <br /> City,State,Zip Phone (775)355-1044 <br /> Phone NumberFax Fax (775)356-0406 Analyses Required <br /> Client Name P.O.# J b# <br /> Address PWS# DWR# } <br /> City,State,Zip j C Phone# Fax# <br /> Time Date s office Use Sampled 1}y /�f Repad Attention Total and type of <br /> Sampled Sampled See Key OntY C cantainErS <br /> 9elow Lab IDNumber Sample Description **Seebefow REMARKS <br /> —U 1 J <br /> 4 r All Y-V <br /> 6-V <br /> 01 <br /> ►�_ �� <br /> ADDITIONAL INSTRUCTIONS: <br /> r Si Print Name Company Date Time <br /> Relinqui .Z <br /> v7 <br /> 14 <br /> Relinquishe by <br /> Received byCbL1 t. e <br /> Relinquished <br /> i Received by <br /> t <br /> *Key: AQ-Aqueous SO-Soil WA-Waste OT-Other **: L-Liter V-Voa S-Soil Jar 0-Orbo T-Tedlar 13-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 samnles receivers by the lahnratory with ihic fni, Tho Gahilih,of tha lahnratnni«G—is i to th_--t...,,,3 t,,..'„. .. <br />