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Billing infon: — _. <br /> �.. � Alpha A ,.cal, lnc. <br /> Name *&'17�% 255 Glendale Avenue,Suite 21 <br /> Address = {�Qr. 5 Ti y' j Sparks,Nevada 83431-5778 Pao <br /> e# 1 Of <br /> City,State,Zip �+ Ids C Phone (775)355-1044 <br /> Phone Numbers b T6"4Ool Fax D � —�Oo3 F (775)355-0406F Analyses Requires! <br /> Client Name <br /> P.O.# <br /> Address Job#�47L��� <br /> PWS# SWR# <br /> City,Srate,Zip Phone I Fax# <br /> fu <br /> Time Gale %Matrix, Oeice.Use.. � Sampled �'. ReportAite Lf� <br /> Sampled c, " tt See Key Only ���&-%I Totalandtypeof = � <br /> Below Lab Il)Numb contarrim <br /> er Samplepescdptbn <br /> e ? y `v <br /> to . REMARKS <br /> OSa <br /> E��; ! T X � 4 <br /> �r Z T„� t � � � <br /> 690 D'r Kr <br /> ADDITIONAL INSTRUCTIONS: <br /> Sionatur Print Name Company Late <br /> Relinquished by � Time <br /> TK- ,r?-V1Received by <br /> IE 4*TW Ci 31 7O/ / <br /> Relinquished by <br /> R b <br /> Relinquished by <br /> Received by <br /> `Key: AQ-Aqueous 50-Sail WA•Waste OT-Other L-Liter V•Voa S-Soil Jar O-Orbo T Tedlar B-Brass P•Plastic DT-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 applicable only to those samples received by the laboratory with this coc. The liability of the laboratory is limited to the amount oaid fnr the rannrt <br /> -- <br />