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��lmrunente <br /> 94o�E y3o`` www.wetlaboratory.com WETLAB Order ID. <br /> ' 475 E. Greg Street#119 Sparks, Nevada Sparks <br /> tel (775)355-0202 fax(775)355-0817 Elko <br /> c 1084 Larr ille Highway I Elko, Nevada 89801 Lv <br /> 'z let(775)777-9933 fax(775) 777-9933 Report <br /> 3230 Polaris Ave., Suite 4 Las Vegas, Nevada 89102 Due Date <br /> virornne� tel (702)475-8899 fax(702) 776-6152 <br /> Page _.__.... of <br /> Client Km P V! Turnaround Time Requirements <br /> siz�ma:a _ <br /> Address "- O "QJQjfzDA P <br /> yy or'iass„, ra u <br /> City.State&Zip rK i IX KW b o D � 1 na Roar i mo I _ n ,rzoo°:n <br /> i,(2 <br /> Sample tolieged Fram , Repon Results Via <br /> Contact it--P Which staro? <br /> Nv CA <br /> Phone Cq ^2 si, — s 17 f Collector's Name °THUR <br /> ComPlienco Monitopna?: rla: <br /> Fax Project vros NO <br /> Rep2d w Regulatory Agency? <br /> P.O.Number PWS Number yes Ro <br /> Sj L S No. Analyses Requested <br /> Email 1 Lgr�P L vjD GO ✓�\ A OF _ <br /> Billing Address(if different than Client Address) M C <br /> Com an P O <br /> Comp an _ -- ._-..__.. L. <br /> Address ................. E N <br /> T _ 1, <br /> City,State 8 Zip _ -- M A <br /> Contact _ _ A I Z 1 <br /> Phone Fax T N V <br /> Email R E <br /> R U <br /> SAMPLE ID/LOCATION DATE TIME PavE x S Npg1 <br /> S,LQP6C PgOFOt r Z _ 1130a 1 51- 4 <br /> N ERs <br /> 06 <br /> 1111111 , 4+ <br /> Instructions/Comments/Special Requirements. <br /> BR=Brine OW=Drinking Water GW=Ground Water HW=Hazardous Waste LE=Leachale LW=Liquid Waste Mi Monitar Well 01=Oil OS=Organic Solvent <br /> Sample Matrix Key" PL=Pit Lake PS=Process Solution SD=Solid SL=Sludge SO=Soil ST=Storm Water SW=SurfaceWater WW=Waste Water OT=OthedUnknown <br /> *SAMPLE PRESERVATIVES: 1=Unpreserved 2=H2SO4 3=NaOH 4=HCI 5=HNO3 6=Na2S203 7=ZnOAc+NaOH 8=NH4CI 9=H3PO4 <br /> u°f ontainen Temp On Ice Custody Seal DATE TIME Samples Relinquished By S I eceived By <br /> eC YIN YIN Z-L - G �' <br /> °C ON Yl® <br /> "C YIN YIN <br /> °C YIN YIN <br /> WETLAB'S Standard Terms and Conditions apply unless written agreements specify otherwise. Payment terms are Net 30, <br /> Client/Colleelor attests to the validity and authenticity of this(these)sample(s)and.is(are)aware that tampering with or intentionally mislabeling the sample(s) <br /> location,date or time of collection may be considered fraud and subject to legal action(NAC445.0636). initial <br /> To the maximum extent permitted by law,the Client agrees to limit the liability of WETLAB for the Client's damages to the total compensation received,unless <br /> other agreements are made in writing. This limitation shall apply regardless of the cause of action or legal theory pled or asserted. initial <br /> WETLAB will dispose of samples 90 days from sample receipt. Client may request a longer sample storage time for an additional fee. <br /> Please contact your Project Manager for details initial <br />