Laserfiche WebLink
The Twining Laboratories, Inc. <br /> CHAIN OF CUSTODY RECORD <br /> Project No. ` �r7� - L.Q 7`;4/ CA <br /> Date/Time Sampled <br /> Affiliation of Sampler/Shipper L-4�5 iAJ c <br /> Address f77- <br /> Number Street City State Zip Telepnone <br /> Collector's Name �cc+ <br /> Signatur J <br /> Transported By �, �� _ Date Shipped 17� <br /> Sample Receiver Z-ARS i.JG <br /> Address X519 F,«svo �T F«s •va Ga 937;/ <br /> Date/Time Received <br /> Comments � � � <br /> Collector's <br /> Sample No. Samole Descriotion Analysis Requested <br /> iL <br /> ✓c Q `� r'.?D L e / — c e✓moi C & <br /> �,✓AT�,c S'Y L c.4 cry c c'- <br /> 7 w <br /> 7-w 4r—S> <br /> Chain of Possession: / <br /> / Sign r / _ /� /Affiliation Inclusive Dates <br /> 2. 2� LIZ <br /> Sigrfat Affiliation Inclusive Dates <br /> 3. % L7- & -72/ <br /> gignature Affiliation Inclusive Dates <br /> 4. (/// <br /> Signature Affiliation Inclusive 0.:es <br />