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The Twining Laboratories, Inc. <br /> CHAIN OF CUSTODY RECORD G�LIr„ <br /> Project No. <br /> Date/TimeSampled <br /> Affiliation of Sampler/Shipper <br /> Address 0✓�'Z� �� State DItY Telephone <br /> ?IP <br /> Number Street <br /> Collector's Name ;. signature <br /> Date Shipped ZZ <br /> Transported By <br /> f• 1 _ <br /> Sample Receiver <br /> Address r•'r r. <br /> Date/Time Received <br /> Comments <br /> Collector's Analysis Requested <br /> /1 Sample No. Sample Description00� <br /> :i <br /> f/ <br /> >fwy <br /> Chain of Possession: <br /> ''�''' !a ,~ Affiliation Inclusive Dates <br /> gnature - <br /> 2. L6 •(. ' ! ." � Affiliation Inclusive Dates <br /> Signature <br /> 3. Affiliation Inclusive Dates <br /> Signature <br /> 4. Affiliation Inclusive Dates <br /> Signature <br />