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Billing Information: Pnelyyc Alpha Analytical,Inc. <br /> Company Stratus Environmental Inc re e! Main Laboratory 255 Giandale Ave.Suite 21 Sparks,NV 99431 Phoma: 7763561041 <br /> Attn: �� Fax 775-560409 <br /> Address 1 I Satellite ServiceCenters: <br /> Cry.��23p: < Nonhem G:9891 Mom Road,Suite C,Rancho Cordova,CA 95927 Phone: 916089 <br /> 358-9 <br /> Phone Numher Fax'. q�/r Southern NV:6255 McLeod Ave,Suite 21, Las Vegas,NV 89120 Phone: 702-281-1848 <br /> °omeo�� Southern CA:1007 E.Dommgu rr Sl,Su le O.Carson,CA 90710 Phone: 7143862901 Page e 1 d 1 <br /> Northern NV:1250 Lamot9e .a310 FJko NV 09001 Pape: 775.308-7043 <br /> Consultant/Client Into: Job and Purchase Order Info: Report AttentlonfProject Manager. OC Deliverable Info: <br /> Camperty Stratus Environmental,Inc. Jobe 22092-2057-01 Nanta: Scot(Bilfinow EDD Required?®I No EDF Requirti I No / <br /> Address: 3330 Cameron Park Drive,Suite 550 Joe NeneQuick N Save 02 Emaa Address: rschwIMstralusintc.net 1 <br /> cxy,State.Z p: Cameron Park,CA 95682 PO s: Phone a 530.878-6004 Global Io- T0607700901 <br /> CM t 916801-9756 Dots Valdabon Packages: III or IV <br /> Samplest Collected from seMeA tpsta7 WYela ata AR Q Kill NV OR WA DOD BIM 00. <br /> s Requested Reariarks <br /> a <br /> m <br /> ru <br /> Ui <br /> am <br /> 0 <br /> o : vmi W W <br /> a �� <br /> Time rete F,%W LL o �6 m <br /> Sampled sampled (See Key Ix <br /> 8ebw lab to Number For b U"0" <br /> Sarrylea TAT v_ <br /> J ' AQ /—vw y STAT N 3 t/ I X X <br /> Z �t W <br /> ^w _ <br /> 1A _ <br /> ZSR /94 W l"`J <br /> //,CC w <br /> 1(so pL w <br /> ADDITIONAL INSTRUCTIONS: <br /> I(field sampler)attest to the validity and authenticity of this samplo(s).I am ewers that tampering with or Intentionally mislabeling the sample bcetlon,data or time of collection is Co Idered feud and may be grounds for legal action.NAC 445.0836(e)(2), <br /> Sampled <br /> Relinquished by(Signa ation): Date: Time: r Received .t(Signstur✓Affiliskwn): Date' Tme� <br /> Y ,�5~ aA ,tom O Z S I <br /> eted by:(SlgnaWrs/Alfaiation): Dots: Time: Red 1.(SigreWMAn91 ): Data: T1rte: <br /> Relinquished by(Signawrs/Ateliation): Date. Time: Received b1!(9 un/ARIliation): Da Time' <br /> K AQ-Aqueous WA-Waste OT-Other SO-Soil L-Liter V-VOA S-Scid Jar 0-Ort)o T-Tedlar B-Brass P-Plastic OT-Other <br /> NOTE: Samples are discarded 80days aft r sample receipt unless other arrangements are made. Ftarardous samples vri9 m <br /> be refued to client a disposed of at dm ieexpense. The report for the anaWs of the above samples is applicaye only to those samples <br /> receivedby the laboratorywith this COC.The liability of the laboratory is limited to the amount paid for the report <br />