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aampres Vorrecreo Prom wnrcn viare, <br /> Billing I ,tion: _ t Alpha Analyti .c, <br /> Name �R- �+.s n r rQ^ w*e♦ Ir..� 255 Glendale Avenue, rte 21 <br /> AZ--- CA X-.. NV INA <br /> ID OR OTHER Fage#_—of_ <br /> Address 3 0 Ga"re,t Pe- Of 6.;76 J�"o Sparks,Nevada 894315778 - a <br /> ., City,Stale,Zip e-AL-Ars n. pie-, CA. 9 SLV 2. Phone {775)355-1044 <br /> PhoneNumber'V G74-4005(Faxt, 3 0 6 71-4006- Fax (776)355,0400 Analyses Required Lo <br /> � �! <br /> Gienl Nana P.O,4 Jeb x i <br /> G S� <br /> .2,0,0,7-00 6§--.0/ l,�, Required OC Level? L1 <br /> Address EMailAddress hal J! 11J JV <br /> Gty,Stale,Lp Phone r Fax r <br /> L•.l i r <br /> � cQQrenFt res,'Lr,,, n+a� <br /> 7rre Dale tR<' orr a tlse q� Total a type d k w <br /> Sarpled 5anpfed 5eelsey o,1yF11.e [ienml�l�l��r G. CL <br /> ca�ain3rs (�� +� crabrrrQ• DLO T7Dp.L <br /> Below LaWD Nurrter Sample 6es#hn TAF "See bOva �1 � REMARKS <br /> n <br /> o ry/,Xl ar D a C(6C0 -ar ,ru F s r L x Y <br /> d4 -Of Cor �y L <br /> D <br /> 4 <br /> 4 <br /> J <br /> Q <br /> O <br /> I <br /> Q <br /> m <br /> m <br /> 7 cn <br /> i <br /> E <br /> i <br /> J <br /> ADDITIONAL INSTRUCTIONS: <br /> signature Print Name Company Date Time <br /> Relinquishedby -" r <br /> G�s,t. (b 5 ro G0C <br /> I Relrr#shedby <br /> a <br /> RelinquOed by , <br /> m <br /> Hecevled by <br /> 'Key: AQ•Aqueous SD-Soil WA-Waste OT-Other ": L-Iter V-Voa S-Sail Jar O-Orho T-Tedlar B-Brass P-Plastic OT-Other <br /> NOTE: Sampfes are discarded 60 days after results are reported unless other arrangements are made. Hazardous samples will be retumed to client or disposed of at client expense. The repor.far the analysis <br /> of the above samples is applicable only to those samples received by the laboratorywith this coc. The liability of the laboratory is limited to the amcunt paid for the report. <br />