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Billing Information: _ i Alpha Analytical, Inc. <br /> !Name — -5 Tri -3 t A if e.1_54 6 1 255 Glendale Avenue,Suite 21 Page# of <br /> Address 313 V Sparks,Nevada 89431-5778 <br /> Phone (775)355-1044 <br /> City,State,Zip Cu."�Pi!®� €G Fax (775)355-0406 Analyses Required <br /> Phone Numbers-3()&.74-6-V6► Fax ,x'30 6 ZL—6D G s <br /> Client Name I ' ` // P.O.# Job# _ <br /> 2,607 <br /> Address PWS# DWR# <br /> City,State,Zip Phone# Fax# <br /> Wry • Office Use Sampledly ReportAttenlion :r' !/ i� Tolalandtypeo <br /> Time Date Only U� —�Ev', ; I�,tits (�• <br /> Sampled Sampled See Key containers <br /> Below t_ablDNumber Sample Description -See below REMARKS <br /> Q 01 <br /> Ll 10 <br /> i <br /> ADDITIONAL INSTRUCTIONS: <br /> 9P <br /> Si ature Print Name Company Date Time <br /> -� <br /> Relinquished by JL 61p, <br /> Received by b r �, A{ ly, Tk� ,f,� �C ,jF - ;� / �) <br /> 'l.rl <br /> Relinquished by -- <br /> C_ <br /> Received by A;- -� .'a: !iv <br /> Relinquished by <br /> Received by <br /> 'Key: AQ-Aq SO-Soil WA-Waste OT-Other ": L+ V-Voa S-Soil Jar 0.Orbo T-Tedlar B-Brass P-Plasti OT-Other <br /> NOTE: Sampl discarded 60 days after results are reported unless other arrangements are ma azardous samples will be returned to client or disposed.of at client expense. The report for the analysis <br /> of 1ha ahnvA camnlP,2 ie anuli—hla nnl,r+n+11 --l— ;--A L-••.k- <br />