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Billing�f rm Alpha An cal, Inc. s <br /> Name- _`_ v L °, <br /> 255 Glendale Aveilue,Suite 21 <br /> Address _ 'e�l� L arf_. ,� Sparks,Nevada 69431-5778 Page If of <br /> City,Slate,Zip Wim^ :lvwP.. Phone (775)355-1444 <br /> Phone Number�n'�r7_ ;,1 Fax 355-0446 Analyses Required <br />' ��r'(_ Fax 1' ��_��� . {. � ax ( � <br /> Client Name ^ ` P.O.11. N Jtf <br /> Address <br /> PWS rt <br /> . UWR <br /> City,Stare,Zip' Phone 4 Fax it 'ice Y <br /> �roc i <br /> Tirne Date Mabix* Orifice SampledRepurlAltenllotalardlypeoficlY - /— �Sam led Sampled See Key <br /> q <br /> coRlairiels <br /> Below LVDNumber Samplebescription See belcnv REMARKS <br /> Ll <br /> 7.3 <br /> y . .� - <br /> 0 /G <br /> OT <br /> 1 <br /> ADDITIONAL INSTRUCTIONS: <br /> S ,�tur t Print Name Company Dale Time <br /> Relinquisl dbv: j�' J <br /> r'l4 c "�`TZ–' <br />' Received by,r ...� �, pf / •� <br /> Relinquished by <br /> r Received by141d ej(.- <br /> Relinquished by <br /> Received by <br /> "Key: AQ-Aqueous SO-Soil WA-Waste OT-Other b Liter V•Voa 5-Soil Jar Q Orbo T=Cedlar B Brass P-Plastic QT-Oilier <br /> NOTE: Samples are discarded 60 days after results are repotted unless other arrartgetrletds are made. Hazardous samples will be returned to client or disposed.of at client expense The re r <br /> P o I(or the analysis <br /> P ss <br /> repo Y <br /> he shove samples .. <br /> s es is applicable p �N ci3�le rely it ll7rse samples received by the laboratory with this coc: The liablllly of the laboralory is tirnitpri in the ai+onimr nairt tnr rr,o ror,r,.+ <br />