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V <br /> THE TWINING LABORATORIES, INC. <br /> SUBCONTRACTING CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> PAGE OF Subcontractor LAB#: <br /> TO: APPL <br /> 4203 W. Swift PURCHASE ORDER: <br /> Fresno, CA 93722 (include this order number on all billing.) <br /> ATT: Glenn Brown 209-275-2175 <br /> Date Subbed: ( Z/,o DATE/TIME SAMPLES RECEIVED: <br /> Subbed by: Mickey SAMPLES RECEIVED IN GOOD CONDITION? Y N <br /> Relinquished by: Received by: <br /> (Signature) (Sign t e) (Date/Time) <br /> REPORT AND INVOICE TO: Comments/Instructions: <br /> ATTENTION: Mickey Obermire State Forms EDT Reporting Yes No <br /> The Twining Laboratories, Inc. <br /> 2527 Fresno Street <br /> Fresno, CA 93721 <br /> Phone: (209) 268-7021 <br /> Requested Turn Around Time (TAT): Confirmation of Receipt: <br /> 24 hour _ 5 day Please confirm receipt of samples & TAT requested <br /> �-' <br /> 48 hour 10 day <br /> to FAX 209-268-0740. <br /> — _ <br /> Reporting Instructions: Include a copy of the <br /> — 72 hour Other: completed COC with your final report. <br /> SAMPLE IDENTIFICATION SAMPLE DATE TIME <br /> MATRIX SAMPLED SAMPLED ANALYSIS REQUES ED <br /> -�-4 �i I I� 1 l 02 M -t- <br /> ` <br /> tIDT- <br /> 3. 14 52-5- 9LO <br /> 11�- �� Q i 120 �X + <br /> 5P-- 1-13 si Iz, 1457 <br /> 69(Q--79ci4 . 3 sP- 1— t G 14-37 <br /> -i994_ sP- I-- -7 <br /> �i -7Ra s . i SP- i <br /> Rev. 2 1/95 SUB.COC ..6A11 Vccr �, 1 kz�p� Q� <br />