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011 les Collet F Ch Stete? <br /> NBillin I m Alpha Analytical, Inc. AZ_ CA_ V_ <br /> WA_ <br /> Name_ 1 all 255 Glendale Avenue,Suite 21e# ®/ <br /> ID OR_ OTHER Peg <br /> Address 1,5 D 4t w. . Sparks,Nevada 89431-5778 <br /> City,State,Zip <br /> Phone (775)355-1044 Analyse U) uired 15694 <br /> Phone Number SX71— L Fax � %' 1V "s Fax (775)355-0406 Y <br /> Clie NaP.O.# Job# <br /> She • F-0i - v Required QC Level? <br /> Address EMail Address ' <br /> ?o Fra4 WiAC i rt +r"Li' -►,e r� ^�' �f' r n In tv <br /> City,State,Zip (A <br /> hone# Fax# 3 t�Jr <br /> EDDIEDF?YES— NO <br /> Myr• Sa d by Report Attention Total and type of � <br /> Time Date Kay Mainers r ` V Global►o e <br /> Samp�d SampledBelow Lab ID Number use only) Sande Description TAT Feel "See below ` REMARKS <br /> O' 5=2 5v -7osz3zo -® I—� - I �/ ` <br /> A <br /> Ph ze, <br /> ,e <br /> ADDITIONAL INSTRUCTIONS: <br /> ign re Print Name Company Date Time <br /> Relinquished by GAA. '5 <br /> Received by /2 12- �J <br /> v <br /> Relinquished b <br /> Received by 5jZ3jt)-7 oqz.0 <br /> Relinquished by <br /> Received by <br /> *Key: AQ-Aqueous SO-Soil WA-Waste OT-Other AR-Air "': L-Liter V-Voa S-Soil Jar 0-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 />