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Eli fang Information, _ AM - _ Samples Collected From Which Sttal<e <br /> a Analytical Inc. <br /> ;ELTV i 6-/J yr ndafeAvenue,Suite 21 AZ CA HV_ WA <br /> A s 3 3 �� o,z r IJa OA OTHER e M { of <br /> Gr ,State,Zr r v a�. �� Spat ,Nevada 99431 5778 r <br /> t1' p c r `9 Phone (775)355 1044 r� r <br /> Phone Number{d�- lbw;a� rax s' Tis- ,y - �, Fax (775)355-M6 Analyses Required <br /> CD 0 a� [ 9 ' <br /> r <br /> t <br /> mCffealName pa N Job C . <br /> Qs Hsagwred QC Level? <br /> Addaess 5 O a VVL,4-1EMa�IPr�dress F <br /> 1 11 !II 1V c <br /> i' <br /> T .51ate Zip rVe V <br /> i APhone 4 Fax A ►� <br /> i <br /> lair' Oi6oetise Sarnpledb ra�daedypeai �� Fps/EUF7YES ND <br /> o Time Oaf I Ft3portA sA1im <br /> 5arnpfsd Sampled SeeKey Only fr Lrl r Cmlaene�s 4 dnhum�T r�;7f�A�r�r4' <br /> BAW Lob ID Number Saaple Descnpbm TATll 'See Wlva REMARKS <br /> AA LAJz <br /> opr nl rz <br /> I T <br /> -AA Vi <br /> 0%Op o'2 IVIA ! <br /> r► 1 <br /> l <br /> 17 U <br /> C <br /> toga <br /> C <br /> I � <br /> A <br /> a <br /> I T <br /> S <br /> 3 <br /> a ADDITIONAL INSTRUCTIONS: } <br /> I a <br /> r Signature Prfnt Name Ccmpany bale Tine <br /> Relrnrpislred by F, _ <br /> Received by oc Ct Sir Y, <br /> .o <br /> �a.� `"/-7 <br /> m Relingnshed try S <br /> P <br /> fV wed [ I <br /> Aelnqurshad bl f <br /> Recenedhy <br /> r <br /> 'Key AQ-Aqueous SO-Sall WA-Waste 09[ other L-Utsr V-Van 5-Soil.lay 0.Orbo T-Tedrar B Brass p plastic OT Other r <br /> NOTE Sw les are discaded 13Li days after results are reported unless)titer arrangernenls are made Hazardolrs samples wtl b.-retumed to client or disposed of at clraal expense itis report forlhe analysis <br /> of the a60Ve samples IS apoficahla Only 10 those samalss rrNFiuRri by rtiP IAr-r.�r..M,��rF,Fs.�...... �r...i-..++ -e.�-.-� <br />