Laserfiche WebLink
ru}nra rtiiaiytrGldi, inG. <br /> Name 43 j;,v r roH ofto N 1-1 1 255 Glend venue,Suite 21 AZ CA� NV_ WA <br /> 3 3 3 PC 49 a ,t s ssD ►D OR OTHER P �_Oil— <br /> Address _ c �4o��N Sparks, 89431.5778 <br /> City,State,Zip W-ft—'em Arne es. 4 LBm Phone (7 55-1044 <br /> w � <br /> Phone Number5'30 iyG-Lma Y Fax Sao 474'49114— Fax (775)355-0406 Analyses Required <br /> Client Name P n <br /> LLS `� Job# <br /> Address '���7 �&�O� f� Required OC Level? <br /> EMatl Address <br /> Ciry. 11 it/ !V,State,Zip Phone tt Fax N -*t <br /> ��81 Gam. <br /> Time Dale Matrix' ORiceUse Sam ed Gy,� oiAlten6on, FDDIEDF? res Y rvo� <br /> I Total and of <br /> Sampled See Ke Only . r'a l r► �Q mai K+07tt, containe� q� r}� <br /> Y Glaba!rD#719 <br /> Sampled p Below Lab ID Number Sam le Descri tion TAT sere <br /> P P Fifrerea "5eebelow REMARKS <br /> i.2 Y9 7! ar sil�oS'{ 0 — 8 u,>j cs .T".►� ► r x <br /> 12-fir d Z s a Ls 14 s s Z.e F 17— <br /> x L/,h, <br /> r1'{h, 1,4T <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature Print Name Company Date Time <br /> Relinquished y <br /> /2/7�G Y )jr <br /> Received by <br /> R6nquished by <br /> Received by <br /> Relinquished by <br /> Received by <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 />