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Billing Infor #ion: Alpha tical, Inc. or <br /> Name� ��l 255 Glen avenue,Suite 21 ar <br /> Address 33'36 0lL Sparks,Nevada 89431-5778 Page# of <br /> Phone (775)355-1044 <br /> City,State,Zi C Com- 4& Fax (775)355-040& Analyses RegUllEd <br /> Phone Num - DoY rro�G <br /> Client Name P.O.# Job p 1 <br /> t4�'4 ZeV7- <br /> Address PWS# AWR a <br /> City.State /r Phone 9 Fax 7CO D 6g <br /> Time Date Matrix` Office Use Sampled y / RepgrtAttention Total and type Ot <br /> Sampled Sampled See Key Onty I L4 (fL &- al and type , <br /> Below Lab ID Number Sample Description "Seebelow REMARKS <br /> .3 1-1,_'3 <br /> 70h <br /> 72 04L-1. 10 <br /> 'ADDITIONAL INSTRUCTIONS..: <br /> Signature Print Name Company Date r�Time <br /> hed by <br /> Rec od by f7m aAA i M . /IQM'c> (� �✓ [f'i'�fl <br /> I Y <br /> Relinquished b_ - <br /> � <br /> R 'ved by <br /> Relinquished by <br /> Received by <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 /> MOTE: Samples are discarded 60 days atter 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 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 />