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AMEMCAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD / <br /> � pATE. <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 <br /> t7 <br /> ANALYTICS (818) 998-5547 (818) 998-5548 1-800-533-TEST 1-800-533-8378 FAX (818) 996-7258 PAGE OF <br /> AA Ciisernt 1 H �� j OIL co7qn� San" <br /> Name <br /> Project Manager G+� `Y P0 Sutrac'— <br /> U�, <br /> Project Name Project No Project Manager s <br /> cwt v VI1 J /1 Signattre <br /> ANALYSIS REQUIRED <br /> Job Name Detection <br /> and <br /> Address 6 Z(`d- PliC { F(C A-OF N-U F Umlts <br /> Test Requirements <br /> 5 f OCK.7Q(� C4, 5ZAr� Test <br /> A.A. client a Sample Nunber Name ter/ lC� <br /> LD: LD Date Time Type contakws <br /> q'187 Ax <br /> r�tw -a- oe7 3 14TH F bozo <br /> 8qw <br /> 990 f-(w--7 3 <br /> vg?ql 3 <br /> 31 <br /> 8993 W—,� 16 ,00 3 <br /> 9S P <br /> e ;.a INTE "rY-To in iFn.L= IN HT RWMVIIING LAB br Date Ttme Reretved by <br /> Samples intact yes NoOUtC-r✓_t l r Ir <br /> swrp•• P►opoty cooioa G yes No Rek>¢iahed by Date T ne b <br /> �t ~t"V11 sarrpe Accepted Yes ! M <br /> M Not Why Rek"Ahed by Date Time Rece ed by <br /> __rAA Project No Rebmtished by Date Time ReceNed by <br /> nlSTIP White - Laboratory, Canary - Laboratory, Pink - Account Wutive, Bold - Client <br />