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Billing inftgrmaUW: r. Alpha Analytical, Inc. <br /> Name s �� �` S It"i J/✓oat.+ti el �C� 255 Glendale Avenue,Suite 21 tI f <br /> Address 3 3 ° � ci � Sw// Sparks,Nevada 89431.5778 Page# of <br /> City, State,Zip C IL e✓o ti Pr Gc' it Phone (775)355-1044 <br /> t3G ZG G o J Fax (775)355-4406 Analyses Required <br /> Pnone Number��,,.- 'E F_ Fax 3 6 76-G0©_} <br /> Client Name P'O'# Job# <br /> Address PWS# DWR# t <br /> �+U <br /> City,State,Zip Phone# Fax# �Q <br /> Time Date kk** Office Use I S dRep ttention. <br /> See Ke only D`a�� o �a.J7^k Totalandly11of <br /> Key <br /> Sampled Sampled BelowLab ID Number Sample Description See containers <br /> lbelow <br /> REMARKS <br /> CL 01 <br /> 15 OT 0 <br /> 1 e" 7 Ourti�ii <br /> ass q <br /> ADDITIONAL INSTRUCTIONS: <br /> Sign r Print Name Company Date Time <br /> Relinquis by <br /> 1 ri7lw� r4r�i Jr✓aaKtKl� g'�i5�-C/ /8l�( <br /> Received by <br /> Relinquished by I <br /> Received by <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-Plastir OT-Other <br /> NOTE: Saml )re discarded 60 days alter results are reported unless other arrangements are m1 jazardous samples will be returned to client or disposed of at client expense. Th6 rt 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 />