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i y r <br /> Billing maton: Alpha lytical, Inc. ' <br /> Name ri4k 255 Glen Avenue,Suite 21 Page#i of <br /> Address ./y. / Sparks,Nevada 89431 5778 <br /> City,State,Zip Phone (775)355-1044 <br /> Phone Number �67G-��yi Pax!�3C G7L��rxx>" Fax (775)355.04013 Analyses Required <br /> Client Name f 1�,/L ti P.O.# b# N <br /> (J f T ! 16"7•l�L��vhV <br /> `� <br /> Andress PWS# owfa# � � � <br /> 0 <br /> N <br /> City,State,Zip '� Phone# Fax# � �}r �� o <br /> Time pate 6+fatrol' Office Use sampledby/) /L / ReportAttention Tatalandtypettf <br /> Sampled Sampled See Key only CCS [�{� containers t <br /> BelaN LabMumber Sample Description "5eebebw 1� REMARKS <br /> 70X a <br /> v <br /> ADDITIONAL INSTRUCTIONS: <br /> S' Print Name Company Date Time -4 <br />! Relinqulsffe /L !,,` C'���q f �Q 0 <br /> ✓ ` ! w <br /> Reeeivedby Flvtr%tann o 15•FrAc-eWo Al Ara tiCQ T-MC 6 ?Io-,"- so M <br /> Re4inquished by o <br /> Received by <br /> ReHrtqu' 1`-C LY <br /> Received by <br /> `Key: AQ-Aqueous 50-Soif WA-Waste OT Other L-Liter V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> ro <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 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. ro <br />