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Billing Infdr atian: Alpha �slytical, Inc. ! <br /> Name _ JS.t, kr.4-fi n"' ✓"A:te=e" A- 255 Glendale Avenue,Suite 21 page#--l—of <br /> Address c3 3 30 eA-I 511W e-1650 Sparks,Nevada 89431-5778 <br /> City,State,Zip ��-'+ �F' � . S 8 Z Phone (775)355-1044 <br /> Phone Numbe s 67a-r. Dl Fax o 6?G—Gpo.S` Fax (775)355-0406 i Analyses Required <br /> Client NameP.O.# JQh06 <br /> (- S /t ,71 j <br /> Address PWS# DWR# Q k <br /> City,State,Zip Phone# Fax If <br /> TimeDate ; Office Use Sampled by ReportAtterttion Totalandtypeoi <br /> Sampled Sampled See Key Onty containers <br /> Below Lab ID Number SampieDescription ""See below '� REMARKS/////, <br /> / -- <br /> or C, t <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature _ Print Name Company Date Time <br /> Relinquished by r'n/ / I �, e�a-f W. Ie 6G <br /> Received by , _ M. '�Li eLvtp �►� A c. r+� n e i�9'�'• `"5-�1 -e tvq <br /> Relinquished by <br /> Received by <br /> i elinquished by f <br /> } Received by <br /> `Key; AQ pus SO-Soil WA-Waste OT-Other 'er V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Pias OT-Other <br /> l NOTE: Sam are discarded 60 days atter results are reported unless other arrangements art m Hazardous samples will be returned to client or disposed of at client expense. Th port for the analysis <br /> .,.,i.,r.,fk. eamnine rar•ahwrf htir tha lahnratnm with this rnC Tho liahilitu of tha tahnratnnf is limitari to ifia omni int pair!fnr thn rnnnrt <br />