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THE TWINING LABORATORIES, INC. Project Name u fc•c�r %rvkj"- <br /> 2527 Fresno Street, Fresno, CA 93721 Address <br /> (209) 268-7021 <br /> Chain-of-Custody and Analysis Request Record Mgr k nfJ� TL# �'`� r1q - <br />' <br /> Date Copies To <br /> Page of Analysis Requested <br /> Report To <br /> Client Name G Bili To C <br /> Address <br /> NPS 1177 o <br /> Contact Name d EExpp ted Turnaround 1 <br /> Phone OUTINE ❑RUSH VERSALS' ❑RUSH REPORT' 1 S�� <br /> [(yfi7 <br /> 'Additional Fees Ap ly t I <br /> Contract/PO# 4 <br /> 11Y�A Specify Date l /_2S, miller Name (Print) ❑FAX# (� <br /> Client Sample Sample <br /> Sample ID Dateffime Type <br /> flt% - Z n �% 7 65,1 <br /> �a � <br /> W33 <br /> h r1-Xl <br /> f e <?'� So/ <br /> G 7x <br /> y i04A 1 1 <br /> Each hazardous sample submitted Water Sample Key Comments <br /> ,for analysis will becllargedahazard- i]Drinking Water <br /> ous waste disposal fee Clients that ❑Waste Water <br /> 6irieve hazardous sam*pfes within 30 ❑Ground Water(wells) <br /> __days of the analytical report date will ©Surface Water(rivers lakes) <br /> befunded any disposal fees p Storm water <br /> RELINQUISHED BY t t RELINQUISHED BY ti <br /> PAINTED NAME 1< J r V tn COMPANY '�+�_ DATE/TIME f��J ., l PRINTED NAME T ,f CQMPANY <br /> RELINQUISHED Blink DATE/TIME i RELINQUISHED BY <br /> PRINTED NAME COMPANY PRINTED NAME COMPANY <br /> ~ RELINQUISHED BY <br /> tjELINQUISHED BY DATE/TIME PRINTFD NAME COMPANY _ <br />