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BillincUnform Alpha An al, Inc. <br /> Name ' � �Y 255 Glendale AWe,Suite 21 Page# ' of <br /> AddressVQ <br /> Sparks,Nevada 89431-5778 F j Aj <br /> Phone (775)355-1044 <br /> City,State,Zip = ✓' Fax (775)355-0406 Analyses Required <br /> Phone Number5l3a���L7t� Fax •1 �� L PF <br /> Client Nam P.O.# 19th# <br /> Address PWS# DWR# 1 <br /> City,State,Zi Phone# Fax# {�} ' 1 ' <br /> Matrix' Office Use Sampledby!��C/f L ReporlAtten;io Totalandtypeaf rl' <br /> Time Date Only ((� containers l��3 ._ Is <br /> � <br /> Sampled Sampled See Key REMARKS <br /> Below Lab ID Number Sample Description "Seebelow <br /> .031 <br /> ADDITIONAL INSTRUCTIONS: <br /> Sig Print Name r� Company Date Time <br /> Relinqui <br /> Received by � 1'��dM-a �' G1'oUwC1> <br /> Relinquished by _ <br /> jelved <br /> nquished by <br /> eived by <br /> 'Key: AQ-Aqueous SO-Sail WA-Waste OT-Other ": L-Liter V-Voa S-Soil Jar O-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 samoles 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 />