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Billing Inf ­Nati <br /> ty C Alpha AQP tical, Inc. <br /> Name L 255 Glendald nue,Suito 21 / <br /> Co Address Sparks,Nevada 83431-5778 Page# <br /> city,State,zip Phone (775)355.1044 <br /> a # Phone Number Fax Fax (775)365-0406 Analyses Required <br /> lk .0 <br /> Client iVame v P.O.# don N srI9 A1,0,4 R D <br /> Address PWS S TA <br /> •r <br /> a City,Slate,Zip Phone# <br /> n d l _ p Fax# a <br /> Tune ate Halms" Pica Use Sampled by AepartAttenlion <br /> On Total and type of O a! <br /> N <br /> Sampled rn �d See Key h h <br /> 13e104V LablDNurnber Sample Description •"Sell below REMARKS <br /> 1f=i. w <br /> ►�- d M W <br /> OS- <br /> 11:27 <br /> I I:-0i Ge S r <br /> 1a:�d Q S� <br /> m <br /> u <br /> a <br /> m ADDITIONAL INSTRUCTIONS: <br /> C <br /> a <br /> o Si ur Print Name Company Date Time <br /> a Relinquished by OQ v� � f–/7-00 <br /> /7`Qa ! <br /> a Received by <br /> a <br /> Rehnquis. . F � VU f <br /> o Received by <br /> 01 {/�fi 7 �� iJ/' r <br /> Reloquishedby <br /> Received by <br /> `Key: AQ-Aqueous SO-Soil WA-Waste Of-Other "': L-Liter V-Voa S-Soil J,- 0 Orbo Tedlar B t3rass P Plastic QT-Other <br /> NOTE: Samples are discarded 60 days after rusults are reported unless t arrangements are made. Hazardous samples will b -umed to client or disposed of at clienl expense. The report 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 />