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olili ig inrorrrtanon: Alpha Anal_v_tical, Inc. <br /> Name ��� 'uU . 255 Glenda] Nue,Suite c F <br /> Address r Page# of �h� ,,6 <br /> �`7Z<JZ ) 1 Sparks,iVeva . x9437-5778 --� <br /> City,State,ZipC1V-A"74f Z©,.J it Phone (775)355-1044 <br /> Phone Numb r�6 ` Fax (775)355-0405 Analyses Required L fir^ <br /> Fax7�"'o Y q <br /> r Client Name- <br /> Uk S P.O.ti Job# <br /> Address PWS p <br /> DWA t< <br /> City,State,Zip Phone q <br /> Fax p <br /> Time Date Matrix' Office Use <br /> Sampled / Z Repo <br /> Tlaian f <br /> Sampled Sampled SeeKey Only containersBelow LabiDNumber Sample Description '"Seebelow <br /> Q <br /> REMARKS <br /> j�i <br /> 57 <br /> y (� <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature <br /> fished <br /> Print Name Company Date Time <br /> , <br /> R ei <br /> R quished � �l <br /> Received by i n <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-Plastic OT-Other <br /> NOTE: Samples are discarded 60 days after 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 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 />