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B ling°inform n: Alph&A teal;>Inc. <br /> Name <br /> .4 :s n 47 255 Glendale;Suite 21 f i <br /> Address 3.3 r� _��we cin.� p �r. 5",T515'70 <br /> Sparks,Ne a a489431-5778 <br /> Page# of <br /> City State,Zip fti a,�e e�ow �C, C a Phone (775)355-1044 <br /> Fax (775)355-040fi Analyses Required <br /> Phone Number 520�N-L�L Fax-r30 d 7e—expo S <br /> Client Name P.O.# Job# <br /> Address PWS# SWR# ]� <br /> City,State,Zip Phone# Fax# � t <br /> f * \ p A <br /> Time Date Office Use Sampled ReportAtter�a Total and eof �O <br /> 5eN e�l(ey Only . 1'0 •c r( [�ow containers (�Z <br /> Sampled.Sampled Below Lab ID Number Sample DescriptionSeebelow <br /> t= REMARKtiS�-� � <br /> a y <br /> 317 (0 00 Or <br /> VT 3n� <br /> 1r <br /> WC I r x X <br /> s <br /> V <br /> FAM to.10 <br /> N'AL,INSTRUCTIONS: <br /> Signature Print Name Company Cate T-1 IV <br /> r� is` 9 Sir ��t �. ? <br /> s q;°Fred by <br /> % <br /> A� s o lQ ti�r <br /> elved.by 1=� M� (.lila O Al �I 0f 1�f� <br /> Relinquished by <br /> R eived by <br /> l gRel�nqusfied by <br /> eceivey <br /> AQ:. Aqueous SO-Soil WA-Waste OT-Other ": L-Liter V-Voa S-Soil Jar 0-Orbo T-Tedlar B-Brass P Plastic 0 �Oier <br /> N TE. 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 rep .1r"At.he 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 />