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Billing Information: A Alpha Analytical, Inc. <br /> Mame f+" 115 -1- Mr�Vx✓eA. 255 Glendale Avenue,Suite 21 <br /> Sparks,Nevada 88431.5778 Page#--I—of <br /> Address (3 330 -�- <br /> vx� � ��:x��.�d;.. ,���..�+ ��.�.��,fi^� p <br /> City,State,Zip 4& Phone (775)355-1044 <br /> Phone Nu beG7C- �� Fax o 6�C^Cdn.� Fax (775)355-0408 i Analyses Required <br /> Client Marne('L S P.O.# J b k <br /> Address // PWS ii DWR# <br /> ho � <br /> City,State,Zip Phone N Fax 0 a <br /> Time tale Matra* Office use Sampled by Report Attention Total and type of <br /> Sampled Sampled See Key Only containers 4 <br /> Below v t.ablDNumber Sample Description "Seebalow ` [ REMARKS <br /> 6)yp Wet OT �J ��t ��a Wtf� G3 iJ� f�Y ,' f /D �L✓. �kJ L <br /> or <br /> OT <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature Print Name Company Date Time <br /> Relinquished by r ��}} � -�' �---- <br /> l/aer lG c;�-GY e7�. .1�> J&re Jrra.rw�eu /tiJ d =fir d� 1t��0 <br /> Received by �- M, V;U'�L M4V A•t.Pt, ;?-21-Cie> <br /> Relinquished by <br /> Received by <br /> I?slisagUiShed by � � f �� t.r,��c; f.• .� 7t s ..� <br /> Received by <br /> *Key: AQ-Aq Y SO-Soil WA-Waste OT-Other **: L' V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic )DT-Other <br /> IgOTE; 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 />