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dJ f5` <br /> THE TWINING LABORATORIES, INC. Project Narncu��� _�Q�d��S_�.•-� -r �'���� <br /> C 252..7 Fresno Street, Fresno, CA 93721 Address —��� <br /> ---- _— — (209) 268-7021 <br /> Chain-ot-Custody and Analysis Request Record Mgr. &_of <br /> Copies To- <br /> Analysis ricquesled <br /> MellorI To: CO , ) Lab Due Dater <br /> Bill To: _—� --�-— V <br /> Client Name _-- -- t —�— -- -- <br /> V <br /> Contact Namel_ L4 Expected Turnar nd: _b <br /> ❑ROUTINE USMVERBALS' ❑RUSH REPORT' y +L+7 <br /> 'Addilioual Feesply <br /> C �+ <br /> untraCUPOff <br /> __ 11 <br /> Specify Date: <br /> `.�anrpter Name _ _._t `� <br /> {Pram) ❑FAX# <br /> Lab ClientSample r_amn Pres vat n/ dling. oca+a <br /> IDS Sample la D Ie/ ime +))Size/Type of Container <br /> I�4 4,7� j (o , <br /> t <br /> -15 <br /> S � 3 / Deg 9a1t_. ( (o" s <br /> V 0 S �4 tl <br /> 6-36 <br /> LU <br /> - - ---_----- _------ - - ----- For water samples,please Comments: - --_ � — Dept. Initials date/Time Location <br /> 1=;rr,h hazardous sample submitted A <br /> lo r analysis will be charged a hazard- check one of the following 2 �� f) 1} '���� 6Q1 — <br /> nu!. waste disposal lee Clients Thal I I[}ranking Water _V.--- --C—�•' 1 ----� bUZ _---- — — <br /> r,;trivve hazardous samples within 30 ']Wa ater _��,"._t-[,(,4_�5- j� <br /> days of the analylica[reporl date will [' round Water{wells► <br /> be refernded any disposal fees I Surface Water(rivers.lakes) 174' <br /> I1rdinquished By � Delivered 6 _ Received By: Received By: <br /> Signature _ ._ ... �: -. .. Signature - -- emsSignature _ -------..- <br /> t'r Ii,Yi �L A+1Q.. Company TL - ---- Company — <br /> . .". Printed -- � -�-- - -- <br /> G mpany Company T�-._ .- ..- ---.— Dale/Time - Dale/Time - <br /> II. - - Dalr 6 L Date ' — _ In E ., Ime <br /> _ — — — — <br />