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THE TWINING LABORATORIES-, INC. <br /> SUBCONTRACTING' CHAIN OF CUSTODY/ANALYSIS REQUEST <br /> PAGE OF Subcontractor LAB#: <br /> ti i <br /> TO: APPL <br /> 4203 W. Swift PURCHASE ORDER: <br /> la <br />=r. Fresno, CA 93722 (Include this order number on all billing.} <br /> 4 ATT: Glenn Brown 209-275-2175 <br /> I . Date Subbed: j7 17-to JR DATE/TIME SAMPLES RECEIVED <br /> .Subbed by: Mickey SAMPLES RECEIVED IN GOOD CONDITION? =Y N <br /> _ <br /> 1 • Relinquished by: Received by: <br /> rATTENTION: <br /> ature) (Sign t re) (DateMme) <br /> RT AN©`INVOiCE.TO: Comments/Instructions: <br /> Mickey Obermire State Forms EDT Reporting Yes. No <br /> { wining Laboratories, Inc. <br /> 2527 Fresno Street <br /> Fresno, CA 93721 <br /> Phone: (209) 268-7021 <br />'•i Requested Turn Around Time (TAT): Confirmation of Receipt: <br /> 24 hour. _ 5 day Please confirm receipt of samples & TAT requested <br /> x to FAX 209-268-0740. <br /> — 48 hour ` 10 day <br /> Y Reporting Instructions: Include a copy of the <br /> 72 hour Other: completed COC with your final report. <br /> SAMPLE DATE TIME <br /> h` SAMPLE IDENTIFICATION MATRIX SAMPLED SAMPLED ANALYSIS REQUESTED <br /> t4. <br /> M� <br /> fi#111r- 14) AQ 1 ,x-0 Prey+ W-POE <br /> 69 6- 1994. 3: ' 5P- I--13 Sri Iz, 143 <br /> 69G----79�14 0 aP- (— I 6l 1-4-37 <br /> P-9 4_ 7si> moo '' t' 14 7 <br /> (c!g��Rq.S . I - SP- i �~ . I ->� li v, � 1�2b • <br /> Rev. 2 1195 SUB.COC <br /> � Pltl voc� a <br />