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Billing nfor 'on: Alpha A ' tical, Inc, <br /> Name ��v �-5 X121 <br /> 255 Glendagnue,Suite 21 Page# _of J <br /> Address ��i.� A fL / Sparks,Nevada 89431-5778 <br /> City,Slate,Zip v�r� Phone (775)355-1044 <br /> J4Fax (775)355 oaos Analyses Required <br /> Phone Number G'" lF Y q <br /> Client fume P.O,# Job# <br /> Address �rl�7�GL� <br /> PWS# WR# <br /> City,State,Zip Phone# � `�'ti <br /> h t` Fax# I f <br /> 41, <br /> Time Date Matrix' Office Use Sampled by 7 /LL ReportAttention� �] j /' r <br /> r Total and type of <br /> Sampled Sampled See Key y `"��` containers <br /> Below Lab IDNumber Sample Description •'See below REMARKS <br /> or <br /> T <br /> i <br /> 44 <br /> ADDITIONAL INSTRUCTIONS: <br /> 77 <br /> 1 re Print Name Company Date Time <br /> Relinquished <br /> Recr;lvl; <br /> Relinquished by <br /> oived by- <br /> Relinquished by <br /> Received by <br /> 'Key: AQ-Aqueous SO-Soil WA-Waste OT-Other "': L-Liter V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> NOTE: Samples are discarded 60 days alter 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 />