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Billin <br /> 9 !W91nAWn. <br /> Alpha Apical, Inc. y • <br /> Name I / <br /> Address G� 255 Glendal nue,Suite 21 9 of <br /> =�" + Sparks,Nevada 89431-5778 Page# <br /> City,State,Zip -rY' ,�rc�vL / Phone (775)355-1044 <br /> Phone Number j � ��' / Fax �'%��'� G� Fax (775)355-4406 Analyses Required <br /> FAddress <br /> e �j ! v v <br /> �j P.O.k J b# _ <br /> es 7�U�� ci r <br /> PWS DWA# <br /> Zip/ <br /> 0 r . phone# Fax# `}i 1 <br /> Matrix' Office Use Sampled b ` 1 --7 Y���vlll <br /> Time Date p r •Hfz_ ✓ ReportAttention Total and type of "t //'i <br /> Sampled Sampled See Key only <br /> containers <br /> Below Lab 10 Number Sample Description 'See below <br /> REMARKS <br /> �o� <br /> 01 1�t� ( V <br /> �2. <br /> to W <br /> 05cfi -7 MW Jx <br /> k ' <br /> 1 D <br /> ADDITIONAL INSTRUCTIONS: <br /> tur Print Name Company Date Time <br /> Relinquished w� �G - � Q� <br /> •; -5 G <br /> jL Received byr <br /> Relinquished by <br /> ,qft 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-Tedfar 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 above samples is aDDlicable onlvto those samples received by the laboratory with this coc. The liability of the laboratory is limited to the amount paid for the report. <br />