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� xt <br /> Date: q 19I qo THE TWINING LABORATORIES, INC <br /> 2527 Fresno Street, Fresno, CA 93721 <br /> C.>� � o. `� cfK (209) 268.7021 rt <br /> l/— I` Chain•of•Custody and Analysis Request Record <br /> Project Name: 51102)��°��I 1 i Project No.: Project Manager: <br /> CBy:. <br /> Sampler: \ \00-� Company: Phone: Del.By: _ <br /> SEND REPORT TO:�1(j�� SAMPLING LOCATION OR. BILLING (Clrr Is O)ne): XP C TURNA7UND: <br /> Company: Ci `� E �' Compan): �� Ut 1 `�'�Ir Rush ' <br /> Address: o - ; �^ Address: L y �^ <br /> (SpeclfyTlme: t <br /> Ontact Name: Contact Name: <br /> Phone: Phone: <br /> 1 <br /> COPIES TO: ;n J <br /> Analysis Request <br /> Number of <br /> Lab' Client Sample Sample DatelTlme Containers <br /> ID # ID # Description ,Sampled , Analysis Re uestedC) , Per Sample <br /> 5— 1 �lAS� � C�i 1 Ot G � 8 _ �/.`/� <br /> got rCC»•C�`, <br /> U{ \I N,=/ \.Z—/ <br /> 'Lab•use only.;: <br /> 3. <br /> % Rel nqul e y Alllllatlon De errlme , Received.By',- Affiliation <br /> 2. <br /> Received By Affiliation Dale/rime Recel ed In Lab By Affiliation Date/nme <br />