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Bulling Information Alph alytiCal, IncSamples Collected From Which Sta <br /> Name � 1Al AZ CA NV_ WAIs <br /> Address G.v 255 GI Avenue,Suite 21 !D pA� OTHER Page# ` (2 <br /> Sparks Nevada 88431 5778 <br /> City State Zip Ga-m44-o %&*. d,�- APhone (775)355 1044 <br /> Phone Numbed F l •�iDn Fax — E Fax (775)355 0406 Analyses Required Client Name uj S PO rr Job a <br /> AddressRequired QC Level7 <br /> A,j 0 0 � , L o d i EMalt Address <br /> City State Zip L f ' L r Phone# Fax k I !! !!! !V <br /> � 3 <br /> Toe Oat, Malnx Office Use Sampled by ReportAllenbon 1 �1 EDD IEVF?YES.0 No_ <br /> • Total and <br /> Sampled Sampled See Key O+�iY w r. type of dy Global rO rTQ�AT 7o�L <br /> below Lab ID Number Sample Descnphen TAT Feld cantaine s <br /> .2p� Rjered SeebeloW REMARKS <br /> n �� y r ��a�-ar <br /> AA <br /> W Z <br /> 0� dtl"22 0, •-3 <br /> +r <br />� M W— <br /> o DD rr ► 5 MAW <br /> D Dar <br /> 1r 2. S - <br /> ADDITIONAL INSTRUCTIONS: <br /> Signature Print Name Company <br /> � RelinquishAby . Date Time <br /> ftecerved <br /> Relinquished by / -a <br /> R ed by <br /> Re4nquished by '' /-/7all <br /> Received by 1 <br /> 'Key AO Aqueous SO Sod WA-Waste OT-Other L-Liter V-Voa S Soil Jar 0-Orbo T-Tedlar B-Brass P Plastic OT-Other <br /> NOTE Samples are discarded 64 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 j ,r".,,,—A f—�k- ____ <br />