Laserfiche WebLink
^ <br /> �-� THE TWINING LABORATORIES, INC. <br /> �-- SUBCONTRACTING CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> PAGE OF Subcontractor LAB#: <br /> TO: APDL <br /> 4203 W. Swift PURCHASE ORDER: <br /> Fresno, CA 93722 <br /> ATT: Glenn Brown 209-275-2175 (Include this order number on all billing.) <br /> Date Subbed: DATE/TIME SAMPLES RECEIVED: <br /> Subbed by: Mickey SAMPLES RECEIVED IN GOOD CONDITION? Y N <br /> Relinquished by: Received by: <br /> (Signature) (Sign t re) (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 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 ANALYSIS REQUESTED <br /> MATRIX SAMPLED SAMPLED <br /> tic>i I lam. cqo 11 02 Bic -+- Mlpoe <br /> —` <br /> OS6-799' . -3- 1?-- <br /> 1 t 4- SP a5— 9LO 1� If IZZ� <br /> 9 - 4. I �P-( -t�5�t- rex + q%E- <br /> 696-7q94. 9- 5P- 143 <br /> 696P--7914 .� 'SP- i — 1G. <br /> '(096--199C sP- , <br /> &q6--79C15 . I SP- l T ~ . ► Ii vs 4o 1�2b <br /> Rev. 2 1/95 SUB.COC t ISI Vm a- <br />