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W Billing Information: _ — AiphaAnal Inc. <br /> _ <br /> N Name. GZ ,�.VC <br /> srQ ioo SlendaVada 89431577827 <br /> 4C, <br /> w Address 080 4✓.rr— 5'Q'LM6N Spark Page# of / <br /> e, City, Stale,Zip�'�d-^`�'+'>= sS.dY CG- P a (775)355.1044 <br /> Phone Number `&!.71-& .o S20 Fax 4/L 7Yro O�t�, Aax (775)355.0406 Lr Analyses Required a Q 7 $ 9 <br /> Client Name <br /> Address '"TYaPWS a Job H .%" cr✓ " U' g .`4 <br /> 0WR a J"1 ro <br /> City,Stale,Zip �VR Ph ne A eY g <br /> 1 RQ1 _� <br /> Time Date kiaVoP Office Use Sampled al 1epodpI entbn `��� Fa 1 7j7 00 �� rU <br /> Sampled Sampled See Key Only SbN 01..( Je.�n� lit gg,q.,.,— Toteland type of V �� a Q <br /> Below tahlDNumberSample Description —See w 'g� 0 REMARKS <br /> �- �U A �� ui y - v <br /> W <br /> �..✓ <br /> MID <br /> titres 3 <br /> AQ <br /> M30 AQ <br /> pvk ela <br /> 23 n'w' p X K X X <br /> 3 <br /> m <br /> 0 <br /> 0 <br /> io <br /> m <br /> w <br /> N UUND 000 CONDITION <br /> N <br /> T <br /> O <br /> O <br /> 20 2000 <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature Print Name Company Relinquished by . L P y Date Time <br /> ,�+wniv c�0r)i {�un�rvYF1 LFA LPI/i✓le " "�k� S-zo 0 3.'25 <br /> Received by <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> > 'Key: AO-Aqueous SO-Soil WA-Waste OT•Other 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 />