Laserfiche WebLink
Y <br /> The Twining Laboratories, Inc. <br /> CHAIN OF CUSTODY RECORD <br /> Project No. TL 6 06 _ 0,0 Zr cc dSC. pG--+�� <br /> Date/Time Sampled 1` 57 8 & <br /> Affiliation of Sampler/Shipper 7T4- ST�rF �s�n <br /> Address 2-5 7-7 .2s�Ne .,-r�r rl�h a y6 70 2 <br /> Humber Street City State Zip Telephone <br /> Collector's Name e X <br /> Signature <br /> Transported By <br /> Date Shipped <br /> Sample Receiver �w��+"��` C-�tsS Z/✓� <br /> Address <br /> Date/Time Received <br /> Comments <br /> Collector's <br /> Sample No. Sample Description Analysis Requested <br /> c�►6,,�-�/ s�/mss ���"�a� <br /> Chain of Possession: <br /> 1. <br /> S'�ignatµ�e Affilia Ion Inclusive Dates <br /> nn <br /> 2. ,^ `V ' r " 6 O <br /> Signature Affiliation Inclusive Dates <br /> 3. _�— — <br /> S�gnature Affiliation Inclusive Dates <br /> 4. <br /> Signature Affiliation Inclusive Dates <br />