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Billing orrT ation. Alp a Aria cal, lnc. <br /> Naano "1� <br /> 5 —yt 255 Glendale Avenue,Suite 21 Page If of <br /> • � Sparks,Nevada 89431-5778 <br /> Address 3 Phone (775)355-1044 G�! <br /> oily,stale,Zip ,IL-Kn __ Fax (775)355-0406 !}� Analyses Required <br /> Phorio Number �� Fr7 Fax 3.. <br /> Client Na o /' .r <br /> F.O. Joh ��-7-17Obb <br /> Address PWS H DWR 9 1 C <br /> i <br /> Gi3y,Slala,Zip! � f�t <br /> Phone# Fax ff <br /> /— <br /> N��6a Orrice Use Sampled neparlAllenlion Total and type of f � <br /> Anse Dale See Key Orly 1 W11 t containers REMARKS <br /> Sampled 5.111+pled y Sam�leDescri lion "See below <br /> Below Lab It)Number f p <br /> �y- o' w- ora Iq -- <br /> i <br /> Ur 4•� l <br /> l <br /> ADDITIONAL INSTRUCTIONS: <br /> Company Date Time <br /> g <br /> Ur Print Name F / <br /> l <br /> .-_., <br /> k - � [ V/6 <br /> fleceivedby - f <br /> Relin�iii$lt dY — _ •� �.1��- C f 2_�C _ Q— <br /> Received by - <br /> Relinquished by -- <br /> Received by <br /> 'Key: AQ-Aqueous SO-Soil WA-Waste OT-Other "`: L-Lifer V-Voa S-Soil Jar 0-Orbs, T-Tecllar B-brass P Plastic OT Oltser <br /> NOTE: Samples are discarded 60 days after results are reporled unless other arrangements are made. Hazardous samples will be returned to client or disposed of al client expense. The repoil for tate analysis <br /> r er, h.,,. �. +� :� ,,r r.+� +• +^++^^^ ^^nr^ '^^^""' i h„+h^fohns�rnnr,nrirh Ihic mr Tho liahiliw of fhr-lahnratnry is lin find In the arnnimi paid for the,reDort. <br />