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Billing Informa <br /> Name "f f ?, Alpha Anal, Inc. <br /> 255 Glendale A ue,Suite 21 <br /> AddressyLrso Sparks,Nevada 88431-5778 page# r _of <br /> ICity,State,ZipG� . Pw.v C., °T'5'L Y-Z– Phone (775)355=1044 <br /> —( Fax Fax.(77,5).355-040Q....- <br /> Phone-Number 7 479:—4 . _ = . - --Analyses Re u <br /> rred <br /> ;.y <br /> T–� �--�� ,� _._.. <br /> -Clienl Name P.O.# Job# T <br /> (AJ S 2ao7—baGS-a f �� �. <br /> Address PVVs# <br /> DWR# a�Jj <br /> City,State.ZiJ6 a �p <br /> /. . <br /> Phone#' Fax# y , <br /> Nb** Office Use Sample r <br /> TiTpled &mp <br /> ate p y Rep�d.Attenton. Tataland eofy Samled See Key Cnry 4 K Voc.7�' v W�4 containers h <br /> Below , ! LablDNumber le Description See below r� REMARKS <br /> r <br /> ? T 5 <br /> �oZv 0i L� T <br /> X <br /> ADDITIONAL INSTRUCTIONS: <br /> Signatur Print Name Company Date <br /> Time <br /> Relinquished � <br /> Do ! � _ <br /> Received by s ~ 3 Y-O ni <br /> ]ems <br /> Relinquished by m Lr !�` <br /> Rq0ved by <br /> Relinquished by :Z1_\I�w <br /> Received by <br /> `Key: AQ-Aqueous SO-Soil WA-Waste OT-Other "": L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-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 ahnvp samples is anolicable onlv 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 />