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- Alpha A alytical, Inc. } <br /> ,vdinern�t V"7 << �'ti fta 1l•' 255 Glen venue,Suite 21 Page it of f <br /> Address %.+,ftt .�ts'k Err Sparks,N a 89431-5778 <br /> City,State,Zip r'G_'!n K(+r - Phone (775)355-1044 <br /> Fax (775)355-0406 Analyses Required <br /> Phone l�iumbe� �iG�(.a E1t� Fax �� ��(�"_(.*�'.1 F <br /> Client Name` �` ( ` - - P.O.# ,rob# <br /> V 5 A 69 Ula r l?G•=� �. <br /> Address PVNS# DWR# <br /> City,State,Zip Phone# Fax# <br /> A <br /> Time Date cJttice Use Sampled by `j J }ZeportAtiensiw� `y Total and type a) � <br /> Sampled sampled See Key Only !tr !� p containers �1 REMARKS <br /> Below LablDNumber Sam Ie0escription "Seet�elow <br /> �� -Y <br /> 17V fjh�' <br /> ova ` yLLr{{Urr C,i4009 <br /> Val <br /> M <br /> ADDITIONAL INSTRUCTIONS: <br /> n re Print game Company Date ') /Time <br /> Relinquished �- V <br /> Received by �'r� / f/� `! y/♦' / , ] ) (�. <br /> Relinquished by <br /> rRecei7ved <br /> y <br /> ey. <br /> *Koy: 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 so days atter results are reported unless other arrangements are made. Hazardous samples will.be returned to client or disposed of at client expense. The report for the analysis <br /> of thu 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 />