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- } � ..y.. �.,r.. „�.�.a- .:3qy.•'"ti^" `_-•mss•-.. _. - ,.. - ., .�,,..- u.. ....-, .• - .. ...,... . , r:Fnxi 7 ,... ......i m ..-.,. .r v :4•.r..ir . .... _. ..•r,,.as '- a. <br /> s <br /> Date: �, Z 5 o THE TWINING LABORATORIES, INC. Page of <br /> 2527 Fresno Street, Fresno, CA 93721 <br /> zn 3 L/� /- (209) 268-7021 <br /> t Chain-of-Custody and Analysis Request Record <br /> !lV c�i� c C..�7 }� Pro r .. 0 Z. ProManager: <br /> Project Name: Project No.: jest - <br /> Sampler: Company:_ Phone: Del, By: <br /> SEND REPORT TO: / SAMPLING /LOCATION -OR- BILLING (Circle One): EXPECTED TURNAROUND: <br /> Company: Z ICY AdA /-J C_ CJ Company:_ yl//�C h1�' �� y Rush <br /> Ad. 0// j , <br /> / 1 Sd^J 1/1C P�;1�Q �l� : 4(9ddress: _ 1T��i` /z Lo, *:�AC. ra rva-i Hca I Routine <br /> G OS 11-7.CE-1r 5 �•t� q �~] �c Com.. (SpecifyTime: ) <br /> Contact Name: Contact Name: <br /> Phone: Phone: <br /> COPIES T0: ED <br /> Analysis Request <br /> Number of <br /> Lab" Client Sample Sample Date/Time Containers <br /> ID # ID # Description Sampled Analysis Requested Per Sample <br /> 33g r, l �- 1j -J +� ' S „ , ( z r���Q_ �X E TPS .-- <br /> , a 5 - z <br /> S3 3 --3 dj- ) 15 ' <br /> s_ �_2- �b <br /> r3-z 15 <br /> 7 5-7 0- 3 5 ' <br /> Izz <br /> 3 A9 <br /> I3--) l ` <br /> 'Lab use only. <br /> 3. <br /> Relinqui heq By Affiliation oatqrrirrie Received By Affiliation DatelTime <br /> 2. ` �Jr ; i.L.�' . { _� �� f 4 ;C' r � i�l7j�J <br /> @Ivc3 Affi`- - pater' - --lin Lah Q. off' tion y� DatelTime <br />