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Alpha Analytical, Inc. - <br /> Namer 255 Glendai�"'`que,Suite 21 <br /> Address S. <br /> Sparks,Nevt X9431.5778 Page # t of--- .-_.- � <br /> City,State,Zip C-0� Phone (775)355-1044 • , <br /> Phone Number G,7, dS Fax (775)355-0406 Analyses Required 0L73� 6 3 <br /> Glint mJob#--- . _.� . _ . ...-. --.� .....;� ._..._...__.__ PO -- - -- <br /> Address —P-WS# owls# <br /> CH ,St le 7iip Phone# Fax# <br /> Time Date Malra" Office <br /> ROeIUse SarQ Ip �1 by Report A} itipr�r 0andtypeof d 7Qi Q 7?cod 6 <br /> I"� t l S Tota containers Sampled Sampled See Key Y � containers <br /> Below Lab IDNumber Sample Description See below (_ <br /> Voi J�v3r �U � } D. -)� h �� REMARKS <br /> St f I �--f -7D^ 2 •� <br /> -00 ? <br /> _ - <br /> - ., , 7 <br /> 17 <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature Print Name / <br /> R 3 , sh Company Date Time <br /> Re.eive "J' Dy C�fl- y v S- <br />' <br /> Heceive 111), <br /> hellquished by <br /> Received by <br /> Key: AQ Aqueous SO Soil WA Waste OT Other L-Liter V-Voa S-Soil Jar O-Orbo T-Tedfar 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 />