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01riii[y rirrur duvsi . Err�� �p rrom imnlcn state: <br /> Noma <br /> { Alpha alyttcal, Inc AZ CA� NV WA <br /> � `� '� s�in�'vt- l ht- 255 Gle Avenue Suite 21 <br /> Address " _ C� �; !U OR_ OTHER o! <br /> + 4S'U Sparks da 89431 5778 <br /> City,State,Zip ,r1 �M.-e t-- C 14Phone (775)355 1044 <br /> Phone Number "iJ Fax 'a f7 c' Fax (775)355 0406 Analyses Required 683 .3 <br /> Client Name `7 P'3 r1 PO # Job# <br /> � Required QC Level? <br /> Address Entad Address <br /> -70 C1�-;v� -r C��� �lud , 1 11 /it 1V <br /> City State Zip Phone# Fax# <br /> C 'ice[� r '+l <br /> y nal tic �a 0 / DFS YE$` HO <br /> Time Date Matrix` Officemy Sampled by RepodAttenhon r+ -1 � �t~ t[ECeI <br /> Total and type of .t N p <br /> Sampled Sampled See Key Only <br /> goner r <br /> Below Lab ID Number Sample Description TAT Feld <br /> container J A _� _ r r <br /> — Field <br /> "See below ^+� + f—TRKS <br /> NOI Ntw - era re <br /> G <br /> 07 -0:2 MW -7 <br /> fMa M w -� fare <br /> - M10- f * arm <br /> ADDITIONAL INSTRUCTIONS <br /> Sign r Print Name Company Date Time <br /> Relinquish y <br /> Received by <br /> Relinquished by <br /> Received b <br /> CL <br /> Relinq [shed <br /> Received by <br /> "Key AO Aqueous SO Soil WA-Waste OT Other L-Liter Moa S-Soil Jar 0-Orbo T Tedlar $-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 analysts <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 />