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'Blllin§ f r art: Alpha.. ytical, Inc. <br /> Name 255 Glenddenue,Suite 21 Page# of x. <br /> Address Sparks,Nevada 89431-5778 9 <br /> City,State,Zip vPhone (775)355-1044 <br /> Fax (775)355-0406 Analyses Required <br /> Phone Number ax t "f/�L�lJ!!�7 `�► ai <br /> i <br /> Client NamelAq 4 P.O.# <br /> Address PWs# DWR# <br /> City,State,Zip v r* Phone# Fax# $A <br /> Time Date tea' OHiceUse sampled ReportAaent Total and type of <br /> Sampled Sampled See Key Only containers <br /> Below Lab ID Number Sample Description '•See below REM A9_0 x <br /> 3fi 7 -4- /, 1 1 <br /> An" i'� "• yC ,� <br /> ADDITIONAL INSTRUCTIONS: <br /> Print Name Company Date Time <br /> Relinqui ed t <br /> 4 <br /> Relinquished by <br /> Received 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 after results are reported unless other arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. The reportfor 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 />