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The Twining <br /> Laboratories, Inc. <br /> CHAIN OF CUSTODY RECORD <br /> Project No. f C �, 1 a to z ! & A- <br /> 14s ", <br /> rV <br /> Date/Time Sampled 1 "� �0( <br /> / <br /> Affiliation of Sampler/Shipper W a A&- <br /> Address 1A#1 WD 201�,� }� <br /> a -� <br /> Number tr t City State Zip Telephone <br /> Collector's Name dl Po A) <br /> Signature / <br /> Transported By � �j /t/� _ Date Shipped <br /> Sample Receiver `"/j� ���►►►TII ii11 <br /> Address J11 <br /> Date/Time Received TAL HEALTH <br /> `� h'sY i SER <br /> Comments ' �� KicLt V�fTv <br /> Collector's <br /> Sample No. Sample Description Analysis Re nested <br /> a' 06 ty- <; l L�j1 r4� Tro .�a►f <br /> E1 Y� <br /> i AU-,S� -r�L <br /> E wT f^ <br /> lax <br /> inPosses ion: / q <br /> Signature Affiliation Inclusive Dates <br /> Signature Affilmli Inclusive Dates <br /> t <br /> 3. <br /> Signature Affiliation Inclusive Dates <br /> 4. <br /> Signature Affiliation <br /> jF <br /> Inclusive Dates <br /> tW <br />