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r <br /> Date: THE TWINING LAYORATORIES,,INC. Pa e <br /> g _Z_of ,. t .: <br /> 2527 Fresno Streei,,Fresno, CA 93721 { <br /> (209) 2t?8-7021 - ...L N <br /> Chain•of•Custody and Analysis Request Record <br /> Project Name: —v4 �� Z� <br /> Project Na;:• ---Project Manager: <br /> U <br /> ampler: Company: Phone: Del.By: <br /> SEND REPORT TO: SAMPLING LOCATION -OR- BILLING (Circle One): EXPECTED TURNAROUND: <br /> Company: oL✓I/?'1 r / 1 / <br /> Company:—Cllr'-.lfI-� ,4.� 1C7' <br /> Add ,: ��� Address: r Routine <br /> r� <br /> f (Specify Time: ) <br /> Contact Name: Contact Name: <br /> Phone: Phone: <br /> COPIES TO: n.-fl <br /> Analysis Request <br /> Lab`' Client Sample Number of <br /> ID - \ ID # p Sample DatelTime Containers <br /> _ Descrytion / Sampled Analysis Requested Per Sample <br /> z <br /> ab Ase only. <br /> Relin.gNlshed 8y ff, tion DatelTime �We_cew�edBy <br /> iliati � <br /> . . . ._ . . . * ' Im 1 . __4C V11 ab E J(i�,:r+ .. - atelt+n:cl <br />