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i ! • <br /> AMERICAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE. <br /> ANALYTICS (818) 998-5547 (818) 998-5548 1-800-633-TEST 1.800-633-8378 FAX (818) 998-7258 PAGE ' OF <br /> _ Sampler's <br /> AA Client Phone <br /> ` <br /> I <br /> �- , <br /> [ rC f rte` I' I L r �, �, — , � Name ! <br /> Project Manager t� P _ P O No Sampler's <br /> Project No. Project Manager's <br /> Prosect Name Signature <br /> ,ANALYSIS REQUIRED <br />� Job Name ~� I 7� Detection <br /> and U14- ppCi r—1 C A rzz Limits <br /> Address Test Reqtirements <br /> fl�OC62bt-1 Cts 162.0,17` Test ` <br /> Mmea Name <br /> Lk sfx tote Date The Type Containers <br /> Yf�6 !.C> f'F,fz�'f 1 f� rr+(' rsi(1J ',f q,�i <br /> 1,6. LU 3 �� v�'�! >> � . ilk cl1 c�I45vlydE� <br /> 3 <br /> Ti <br /> 3 <br /> S 4,11 <br /> 3 (. r-trr lip rqut3 1�a=�� f F�'ilr'� i I .l 'iI�rII <br /> t3AMpLB INTzonM TO BA FILL19D EN BT RVCWVENG IAB RMIlgitted Dale Time Received by <br /> 7_b 9A tq' CYJ 0 . dUkCSTw <br /> samples intact Yee No Date The Received by <br /> Samples ProperiY Cooled Yee No Rsl�rod by Zt �� }'�" <br /> Sarnpba Accepted Yes ND O��' l �T I L r 'if v <br /> Reirqieflsd by ala TirM ed by <br /> it Not WhyZ Q d 1. <br /> Aa <br /> Relnqufetted by Date Tine Received bfr <br /> AA Protect No <br /> DISTRIDUTIOM White - Laboratory, Canary - Laboratory, Pink - Account Executive, Gold - Gient <br />