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Date: , D THE TWINING LABORATORIES, INC. Page of <br /> 2527 Fresno Street, Fresno, CA 93721 <br /> (209) 268.7021 <br /> 4 (r >7�t-rjj &A5 L ,lAD CF,�7t�_P_ , Chain•of•Custody and Analys s Request Record <br /> 11 <br /> (/N1fNo%ri�l��li�hC [pC/I v'i-4 is J.v -fi�:L ,�r1�+7D4�V�r— Cnnli�flLi' =' d I,17. t><= <br /> ProjectName:- PxoteatNo.: - i4 IC4024 0SProject Manager. <br /> Sampler) fx( - �Air OSdA/ Company: '!✓/rJri�(r w^�(� Pone: (�`� S 2�5 -OC/��4 Del. By: `i ICf'y;Foil% Q <br /> SEND REPORT TO: r SAMONG LOCATION •0BILLING _�j cle One): EXPECTED TURNAROUND: <br /> " <br /> Company: ; �' l-- �f�, " ' " Company; — _Rush <br /> Address: Go Address: Routine � <br /> Cr ' � <br /> (Specify Time: 4 t 1 <br /> Contact Name: _A I T vl U!'J(+v Contact Name: <br /> Phone: I(�J� I > �7 ��2 Phone: <br /> COPIES TO: Jl�nl )(!l� �J(%nl ! 'I�Ji IcA;7/�SI4�L'icf,5" <br /> Analysis Request <br /> Lab* Client Sample Sample "t '^: Datelrlrn0r*i o.e _ _..Ivr Number of <br /> ID N`; _ ID N Description Sampled/ Anal sl Requested �fl'. Containers <br /> � ? p p � y q Per Sample <br /> dna - l7% A. A . , /fiz,lc/ SJ iL 7�1- l.'�S �' , y <br /> i <br /> (:--CvmFv '- r 1 <br /> _ i <br /> rElf R <br /> ;A.AQ0 . <br /> l <br /> 'Lab use only. / <br /> 1. !/ =)'�7lo-._i /%�liv'N/T �}� tl'L• � ��Y'S 3 C•_/11 r'�7v. f� Lt_ ,//. i )C�[�� i�/S ji y` <br /> Reil uished By Affiliation Date me Receted By— Affiliation Date <br /> 4. <br /> deceived 6y Affiliation Date/Tlme Received In Lab By Affiliation DatelTime <br />