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' r THE TWINING LABORATORIES, INC. <br /> SUBCONTRACTING CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> PAGE 3 OF Subcontractor LAB#: <br /> TO: APPL sal-v <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 q S4 DATE/TIME SAMPLES RECEIVED: <br /> Subbed by: Micke cfLe SAMPLES RECEIVED IN GOOD CONDITION? Y N <br /> Relinquished by: Receivd 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. <br /> 2527 Fresno Street <br /> Fresno, CA 93721 91, �e`7 j ��'�-- <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 /> to FAX 209-268-0740. <br /> _ 48 hour _ 10 day <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 /> 606-79913 21 Sp- 4- ( O Oji 1 12 0 4 :Zj 8 oto FOR <br /> (o`�fo=7�g3.22 5P-4-- ( + �i {I <br /> 0&-- t�3-95 GP-4- OA- <br /> 09&-7`93. a4- <br /> ffl4t 'C <br /> 09(0---M'3.':2-9 <br /> SP--3-1 II I► !�1 <br /> Z)P-3-24-- <br /> Rev. 2 1/95 SUB.COC <br /> 69&-�914. 11 SP- t- 2& tzIZ'+(o 1535 <br />