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Billing 1 Av <br /> i n: _f Alpha A [cal, Inc. <br /> Name U n`� '�T�" 255 Gtendalel venue,Suite 21 pa e 4_j__of <br /> Address � Jvlrt. �.- Sparks,Nevada 89431-5778 <br /> Phone (775)355-1044 <br /> City,State,Zip �c f �/"L 1 - * Fax (7T5)355-0406 Analyses Required <br /> Phone!Number� — Pax <br /> Client Nam 6 P.Q. Jo # <br /> Address PWS 0 oWn# 1 <br /> Ciry,State,Zip& 1• Phone# Fax It <br /> Aac` Office Use �pledby RepartAtte*n TotaiandWeot <br /> Tcne Date See Key Onty mtlairrers <br /> Sampled Sampled maw Labll)Number Sample0escriptiort "Seebdow REMARKS <br /> 1xPi` A MILD R I - b I <br /> 4. V <br /> ar -o? �v y �V • <br /> -0 iYr� <br /> )oD - 1L v <br /> ADDITIONAL INSTRUCTIONS: <br /> r u Print Name Company Hate Time <br /> • Relinquish ,��y �r �7"' <br /> 12,,,Z-ow z7 <br /> ReeelYed <br /> RelinqusV <br /> 0Z'�� <br /> heday <br /> Received by <br /> Relingwshed by <br /> I <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 fetumed to client or disposed of at client expense. The report for the analysis <br /> of the above samples is applicable onlv to those samples received by the laboratory with this coc, The liability of the Iaboratory is limited to the amount paid for the report. <br />