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Billing f ion: <br /> Name JJ-� Alpha lytical, Inc. <br /> 'llfr�o+1/t'li:1tl�� . <br /> �� 255 Glenda Avenue,Suite 21 <br /> Address �µ r; jt,�; 5 Sparks,Nevada 89431-5778 Page# of <br /> City,State,Zip Phone (775)355-1044 <br /> Phone Number ` - �i1' Fax �� Fax {775)355-0406 Analyses Required <br /> Client Name <br /> P.O.# S" Jab# ��• S fY�' <br /> Address :Iva <br /> PWS# DWR# <br /> City,State,Zip <br /> tt r /ti Phone# Fax# <br /> Time tate h4ft' Office Use Sampled by RepartAttention <br /> Sampled Sampled See Key Only Total and typeof ' <br /> containers <br /> Below LablplVumber Sample Description "See below <br /> cv t v' REMARKS <br /> l <br /> i <br /> ADDITIONAL INSTRUCTIONS. <br /> i <br /> Sin r Print Name <br /> Relinquished by � Company rp Date Time <br /> Received by i ` f r` r' frl �7f! ! <br /> Relinquished by �.., , C ,%� ` t <br /> i <br /> Rec i —7 <br />!. Relinquished by <br /> I` Received by <br /> `Key: AQ-Aqueous SO-Soil WA-Waste OT-Other *"; L-Liter V-Voa S-Soil,tar 0-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br /> NOTE; Samples are discarded fit}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 tha.ahnva samnlec i�annlirahla nnly to thnsa Samnln.c raraivPrf by thR lahnratnry with thic nnn Th.r.hiri,._++k _ .__. <br />