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The Twining Laboratories, Inc. <br /> CHAIN OF CUSTODY RECORD <br /> P� F-E $jOGTOn/ S G fL bf6 — o8z— G `� <br /> Project No. <br /> Date/Time Sampled !— 1L — F& <br /> Affiliation of Sampler/Shipper 7-1— <br /> Address <br /> LAddress 257-7 o�Grro 64 5"f7lo Z4e-7vZ j <br /> Number ✓Street City State ZIP Telephone <br /> Collector's Name /^ NK <br /> y Signature <br /> Transported By !` Date Shipped <br /> Sample Receiver <br /> Address r*1-0m <br /> Date/Time Received /7- 8 <br /> Comments <br /> Collector's <br /> Sample No. Sample Description Analysis Requested <br /> � r.vK� F.// �„i/ /S l ;Vo/4 �i°G�s o. � 9✓tea-sc. <br /> Z 7V&A4 f �G6 0, <br /> ySuf•-•� �.S ' 'T//Of9, PLB o. � 9.eo,r-cJ <br /> Chain of Possession: <br /> Signal re Afflli Ion L. Inclusive Dates <br /> Z Signature Affiliation Inclusive Dates <br /> 3. ti 1-6 --b 7 <br /> Signature Affiliation Inclusive Dates <br /> 4. Signature Affiliation Inclusive Dates <br /> = <br />