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r•. <br /> Dater' -30 THE TWINING LABORATORIES, INC. Page- of-,/ <br /> 2527 Fresno Street, Fresno, CA 93721 <br /> X (209) 258.7021 <br /> //�� Chain-of-Custody and Analysis Request Record <br /> Project Name: /2 �le Project No.: Project Manager: yATT /�'ieL6/5 <br /> Sampler: —eL�� Company:_ r �4 - Phone: Del. By: <br /> SEND REPORT TO: SAMPLING <br /> LOCATION •OR-�BILLING (Circle One): EXPECTED TURNAROUND: <br /> Company: pan <br /> �� Com 1/izs�4n— ✓ / *+plc �c Rush <br /> Y: <br /> Address: 1 S /J Address: — S 'yy am /Routine <br /> rttii. l�� C�•c- �` (Specify Time: �a <br /> Contact Name: � L �g, / Contact Name: ��� „'/`e � • <br /> Phone: Phone: <br /> COPIES TO: <br /> Analysis Request <br /> Number of <br /> Lab' Client Sample Sample Date/Time Containers <br /> ID k ID N Description Sampled Analysis Requested Per Sample <br /> t+fT <br /> v�/� /� '.Z <br /> .� <br /> 6i77r!•r of/1✓/v /.r� <br /> i <br /> 'I-ab use only. <br /> -• Date I e /�// Received By Affiliation Datefrime <br /> Rei ulshed By Affidation2. ' <br /> RecQived By ," <br /> y ,-,� Affiliation Date/Time Received in Lab By Affiliation DatelTime ; <br />