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THE TWINING LABORATORIES, INC. Protect Name Y I e f o►{ <br /> 2527 Fresno Street, Fresno, CA 93721 Address 11 1C'2b2 <br /> T` (209) 268-7021 c!4 <br /> :... <br /> - Chain-o#-Custody and Analysis Request Record Mgr ��� T"'"�5 — TL# <br /> Rate`�f_ 6�� Copies To EF 0 <br /> Page=-V of ! <br /> Analysis requested <br /> ,Reppit To <br /> CIieName d s Bill To <br /> ,,Address <br /> `Contact Name a-e6n Akllwin& Expected Turnaround <br /> ROUTINE L7 RUSH VERSALS' C]RUSH REPORT` U! L <br /> Ph'17-one Additional Fees Apply 1 <br /> rontract/PO# Specify Date <br /> �,mpler Name <br /> (Print] 0 FAX# <br /> Clientgrr� Sample Samplee9 v n <br /> Sample ID - Date/Time Type <br /> Ln ' i �s r <br /> W <br /> e A t } <br /> MGM <br /> Each hazardous sample submitted Water Sample Key Comments <br /> 4foranalysis will becharged ahazard- Drinking Water <br /> ous waste disposal fee Clients that ❑Waste Water o <br /> retrieve hazardous samples within 30 ❑Ground Water(wells) ' <br /> days of the analytical report date will ❑Surface Water(rivers lakes) o <br /> be refunded any disposal fees ❑Storm Waterhs� <br /> +r L <br /> RELINQUISHED BY �` DATE 1 TIME PRINTED NAMESHED BY <br /> PRINTED NAME MPANY L PRINTED NAME COMPANY <br /> PRELINNQQUUISSHHEED S COMPANY DATE I TIME 3 r \ RELINQUISHED BY <br /> ,Ni Ak 1U PRINTED NAME COMPANY <br /> REulvouISHEDBY neTrrTOMP RELINQUISHE Y <br />