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' THE TWINING LABORATORIES, INC. <br /> �... SUBCONTRACTING CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> PAGE OFSubcontractor LAB#: <br /> TO: APPL sa-'JpIeS <br /> 4203 W. Swift PURCHASE ORDER: <br /> Fresno, CA 93722 (Include this order number on all billing.) <br /> ATT: Glenn Brown 209-275-2 75 <br /> Date Subbed: Io DATE/TIME SAMPLES RECEIVED: <br /> Subbed by: Micke�e SAMPLES RECEIVED IN GOOD CONDITION? Y N <br /> Relinquished by: Received by: <br /> (Signature) (Signat e) (Date/Time) <br /> REPORT AND INVOICE TO: Comments/instructions: <br /> ATTENTION: Mickey Obermire State Forms EDT Reporting Ye No <br /> The Twining Laboratories, Inc. ;6�a��,les�--- �� U-A <br /> 2527 Fresno Street b <br /> Fresno, <br /> CA 93721 e" eA- <br /> Phone: (209) 268-7021 5 U-) <br /> Requested Turn Around Time (TAT): Confirmation of Receipt: <br /> _ 24 hour _ 5 day Please confirm receipt of samples & TAT requested <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 REQUESTED <br /> 646-799 3,-2-1 Sp—4— ( O X01( ice- 0 q OSIS OLD R* <br /> (o`�(O=X93.22 SP-4— 14- Lf 11 <br /> �q6---f N3.O,�3 5P-4- o' - 11 Cq o <br /> 096--7`�fl3. a4- �5P-4-o'Z'S <br /> Oq4t 'C <br /> G`i(c>-7 3.9-1 <br /> (09(0—?T3.2`� <br /> &9L_�` 3a3o <br /> Rev. 2 1/95 SUB.COC } <br /> 69& --7914. 11 12-12m (a 11535 <br />