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Billing,in ormation. Alphoalytical, Inc. <br /> I <br /> Name 255 G le Avenue. Suite 21Page#_J_of <br /> Address 'U- Sparks,Nevada 89431-5778 <br /> I <br /> City,State,Zip Phone (775)355-1044 <br /> Fax (775)355-0406 Analyses Required <br /> -'Z <br /> Phone Number G 41,Vl Fax <br /> Client Name P.O.4 job <br /> IM <br /> Address PWS# I)WR# -X, <br /> City,Slate,Zip Phone# Fax 9 <br /> Time Dale office Use ample ReporlAttenlion Tclalandl;ypeof <br /> I On y t�,YIL L— <br /> Sampled Sampled See Key I t containers <br /> Below Lab ID Number Sample Description See beiumw REMARKS <br /> ADDITIONAL INSTRUCTIONS: <br /> Print Name Company Date Time <br /> Relinqui d by" <br /> 1- ,/ - <br /> I P <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> Received by <br /> J <br /> *Key: AQ-Aqueous SO-;Soil 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 abo./e 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 />