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THE TWINING LABO�ORIES,:.INC. Pi��8- <br /> 2527 Fresno Street, F , CA 93721 Address <br /> (209) 268-7 21" AA <br /> Chain-of-Custody.and Analysis Request Record Mgr. TL# IFf m„7t <br /> Date--f •� . <br /> page of, Copies To: <br /> Armlysis Requested <br /> Report To: <br /> Ub Due Date <br /> .Client Name Bill To: <br /> Address ! <br /> Contact NameTQbJ4_�&kL406 Jam_ Expected Turnaround: T <br /> Phone 3 - OUTINE CRUSH VERBALS* ❑RUSH REPORT` i <br /> Conti PO# / *—Additional Fees Apply . 0/ (/� f <br /> Sampler Name--- irt-_L. �*cEr- ,_ <br /> Specify Date: _ If /. 10 <br /> 1r ❑FAX# <br /> . .E Client 5ampfa Sample <br /> Sample ID Date/time T eJSizeAtlft �n�� <^ 1 ling ” <br /> yp ,� Preservation Hand`" tion <br /> Gam :. <br /> gggdf �€ BEN <br /> Y <br /> G <br /> •F - ., � ", -... � ,�'pec -£ ��� e <br /> • <br /> 171 <br /> kA <br /> rj <br /> Each..hazardous-sam le submitted For Water samples, please Comments: d ��[?ate <br /> p °1 h /Time Locatioh <br /> far analysis will be charged a hazard check one of the following: r "° <br /> bis.waste disposal-fee. Clients that Drinking Water ^ y <br /> Weve hazardous samples within-30. 0 Waste Water <br /> days of the analytical report date,wili In Ground Water(wells) <br /> be refunded iWdisposal fees. ❑Surface Water(rivers,lakes) � ' ' . ¢ <br /> 1 -1Il1qu(shed 8y Delivered By: e � <br /> 99? <br /> S1 nature Signature <br /> an - <br /> 1 <br /> #ttedPrinted ; <br /> a <br /> .CoAlPany T�Of- <br /> Company j1�' t e <br /> ZI <br /> Date/Time <br /> i <br /> RF <br /> y1,Yftj`- <br /> r.Fw� <br /> SHADED AREAS FOR OFFICE USE ONLY <br />