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Billing Information: �. ` I Alpha Analytical, Inc. <br /> Name S �,� /,-s ��J/✓d",-k ems-k r 255 Glendale Avenue,Suite 21 l f <br /> Page# of <br /> Address 3 3J 4' C--L-1v r,-e, P�'CJi ,fwrl�,�{�r� Sparks,Nevada 89431-5778 <br /> City, State,Zip G': "^ eio� P� G Phone (775)355-1044 <br /> Phone Number�. �G Zfs`��6 r Fax c 't3°�7�`�0�� Fax (775)355-0406 Analyses Required <br /> Client Name /t P.O.# Job# <br /> ff 4.X, .2F�O7 OHS=OL k q <br /> Address PWS# DWR# <br /> �lv <br /> City,State,Zip Phone# Fax# <br /> Time Date Wrix* Office Use S dD Re ftenlion• Tolalandlypeut <br /> Sampled Sampled See Key only `u -� r! �o�.TI—� containers f. <br /> Below Lab lDNumber Sample Description "Seebetow € REMARKS <br /> 13`t3 01, <br /> 1 f M fT O rt rti riS <br /> x <br /> ADDITIONAL INSTRUCTIONS: <br /> Sign r Print Name Company Date Time <br /> Relinquis by -� _ r 4- /'91 rale ��ir�� ,1JrraH�+[Kle. �lJ <br /> Received b <br /> y'//- <br /> fir' p <br /> tZ--- ,,'. 5.ay�:�d,'_, � �Y/"°- ,✓��t./>')'�,�'.s., � '"�� ��}�nl,t�}� �'��� <br /> Relinquished by <br /> Received by <br /> Relinquished by <br /> RPCeived by <br /> '°Key: AQ-Aql SO-Soil WA-Waste OT-Other "": L V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic nT--Other <br /> NC TE: Sample- o discarded 60 days after results are reported unless other arrangements are madam: azardous samples will be returned to client or disposed of at client expense, The reu rt for the analysis <br /> of ikn nk--nomnfne is—H—kin nnh.1,lk——'t—conn i.,.,.7 kv tkn InF.nrni.......,ili.kk:.-...... 7u.-c..l.a:.„_[.L,- _.:_--:.-_,1- — .. .. <br />