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Billincy lnfprtnation: Samples Collected From Which State? <br /> Alpha g�lytical, Inc.Name �' E.V., a l � AZ� CA x' NV —_ WA <br /> 255 Glen enue,Suite 21 tp OR ` OTHER Pa # f <br /> Pk Or. 5 ,Te rra -- _-. — Of <br /> Address 333 C. ., .,�,� .. Sparks, Nevada 89431-5776 ------ <br /> City,State,Zip'Co-%cow, r_g-}Ca `f,rL r i Phone (775)355.1044 ' <br /> Phone Number'53P 4 U CODY Fax 3o t71-100 3- Fax (775)355-0406 Analyses Required � <br /> Client Name P.O.u �'` � ID � � <br /> t•L 3 14 6 S, Job� <br /> AddressEMaii Address 01 7- o o L,r-a r �� Required QC Level? <br /> � n It „! ,V <br /> City,State,Zip Phone#t Fax# b <br /> h'athx' Rice Use S dby- � ] EOp1EDfi? YES NQ <br /> Time Cale I Re Tt Allenl'ion Total and type of �1 <br /> Sampled Sampled See Key Only f v ,ti � rj e Wei <br /> a#rl7Vt ." containers a Global fo#T10 a <br /> Below Lab 0 Number 5ampie Description TAT F erect "See below REMARKS <br /> o'T G,S* LT A I)VP S J :',4; <br /> LL S-q ~ 3 za J S 7-4 T <br /> rad <br /> S1-KC<-Z,t z o( - o+ 54 tom" 2 f. <br /> I <br /> I � — <br /> ADDITIONAL INSTRUCTIONS: <br /> Si nature Print Name Company Date Time <br /> Relinquished , <br /> L9 SLe it 3 49IC% 5 LM V. <br /> Received by W_ � f +MQ <br /> Relinq,shed by M — <br /> E�'j <br /> `Key: AQ-Aqueous SO-Soil WA-Waste OT-Other ": L-Liter V-`Joa S-Soil Jar O.Orbo T-Tedlar E-EraS5 F-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. T13e rep;!it',cr 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 />