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AMEPWAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWORTH. CA 99311 DATE- <br /> �+++wrrca (818) 898-5547 (818) 998-5548 1-800-533-TEST 1-800-533-8378 FAX (818) 998-7258 PAGE OF / <br /> AA aeMPh <br /> T�� o rL p <br /> cocoone /o �l — Name Sam <br /> s <br /> Project Mensper N C , P O No Sampler's x <br /> ' z S g y Signature <br /> Protect Name Project No Protect Manager's <br /> Signature <br /> �� ANALYSIS REQUIRD <br /> Job REQUIRED <br /> and 767 / L ,�F-1/C �Ttl its r B <br /> Address <br /> / / / / / <br /> Test Test Requirements <br /> AA Caws Nmber Name � X <br /> LD.; LD Data TWO T� of i <br /> coMahers <br /> Cf1z Mtv-1 0 •00 6 Z <br /> 439 —j .io C Z. <br /> 139/ hl ;SOP GA01 <br /> 13 o :. G/Z Z <br /> GAYPI.= M gi RRCZIVMG LAH +ad by Date Thea Ree ed by <br /> L <br /> Sa°ipha infant Yes Na UlW 93 $'100 J�+Qh-L1i f <br /> SwFolse PloWly Cooled Yea No PAk4iialwidby Data Time Received byr <br /> 8an9be AwWed Yee No <br /> If Not Whr Ratnq~ br Date Thea Rocakad by <br /> AA Project No. J �j f f PAkKAhad by Date IWO I RecOwod by <br /> Dt$TRQUTK*k White - Laboratory. Canary - Laboratory, Pink - Account Executive. Gold - Client <br />