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Billing ! o ion: Alpha lytical, Inc. <br /> Name r i 255 Glendale Avenue,Suite 21 v <br /> Address ��' Sparks,Nevada 89431-5778 Wage#— !_ f <br /> City,State,Zip - Phone (775)355.1044 <br /> Phone Number •� .i Fax Fax (775)355-0406 Analyses Required <br /> Client Name <br /> P.O.# ��, <br /> ff Job# <br /> G G 44 iii XCO _ <br /> Address PWS# d <br /> /- LT <br /> AA <br /> � 1 _ , owa# ✓ �" Uy <br /> City,Slate,Zip ^` Phone# Fax# �, <br /> !♦r vtA <br /> Time Date ` Office Use Sampled bye ReportAttention � ,N_ � 1� <br /> Sampled Sampled See Key Only 7U'�A_ �J ; 1 � TotaiandiypenE a� <br /> Below LablDNumber containers [� ] <br /> Sample Description See below <br /> 10 <br /> — REMARKS <br /> 2 .' <br /> ( <br /> ADDITIONAL INSTRUCTIONS: <br /> RelingssisheSin a 94 Print Name Company Date Time <br /> d by <br /> Received by ;t>r f `, 5v 044 51 r1 t r' <br /> �' <br /> Relin ed <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 O-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 report for the analysis <br /> of the above samoles is aoDlicable only to those samples received by the lahoraton/with this mnr Th <br />