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Samples Collected From Which State? 0 <br /> Billing Inft�rTiliation: Alpha Anal ical Inc. <br /> Name 5 t RA Tu•5 !E/�L Y t �� P ' AZ_ CA� NV WA-____, <br /> 255 Glendale Avenue,Suite 21 Ip OR_ OTNER Page of <br /> Address 2 310 r_gLmGreri go k A, 40�rl'G Sparks.Nevada 89431-5778 <br /> Grty,State,Tap 40.04dee Phone (775)355-1044 <br /> Phone Numbers te—&Undm9d YFax;C& &-L— Fax (775)355-0406 Analyses Required 06648 <br /> Client Name P.O.# Job# <br /> G4 5 A to S Required OC Level? <br /> Address .� �,.e D l.J L o�i. Ave EMalt Address �w ,r 11 rru IV <br /> City,State,Zip G w Phone# Fax# m 11 1� <br /> EDD/EDF?YES NO- <br /> le <br /> t7tr<ce Use Sampled by . Report Anentian • q -r09077006.6 <br /> ,- 9 <br /> Time Date Sampled Sampled See KeyOnly (!'�t a i1 Tdcantaine�of �� Q V I GrabN ID M _ <br /> Below Lab 10 fVumber <br /> Sample Description TAT Field <br /> • See below 1 W REMARKS <br /> p15 <br /> 7 MW_I 5 -V x <br /> 7 1t-.; -2 Ln <br /> IKW 3 <br /> o s /Kw- <br /> ds <br /> 080 - <br /> os <br /> 070 `b /1'+±wr9 <br /> w �ld <br /> o -/7 AR f6S " 5• JC <br /> i <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature Print Mame Company L , Date Time <br /> Relinquished by • ! _e S lJ • �- r ` oa�l o <br /> Received by l Q5 O <br /> I 1 I <br /> Rellnquishe `"V <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 retumed 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 />