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P <br /> * American Environmental Testing Laboratory Inc. AETL JOB# / ! i PAGE D of ' <br /> AET L � 2834 North Naomi Street,Burbank,California 91504 Phone(818)845-8200,Fax(818)845-8840 �~ <br /> Certificate#1541 <br /> CHAIN OF CUSTODY RECORD ANALYSIS REQUESTED A <br /> CLIENT: LA�(/l[—��'���t C/ TELEPHONE: Z 1 ? S�ci(, <br /> y� FAX: Z1 7� 86q Y-cs 5— <br /> ADDRESS: Zoe C. Las /^, <br /> SITE: <br /> �U~ <br /> CONTACT �t" PROJECT <br /> PERSON: �� PROJECT <br /> '�" ♦n nl� NAME: ���c%8h/ NUMBER: 276, Yle' "3� -,tet <br /> CONTAINER SAMPLE TYPE REMAR✓ <br /> SAMPLE ID LAB ID DATE TIME <br /> SIZE/TYPE sofasoup LIQUID PRIES.WATER WASTE WASTE OTHER <br /> 2 / S el"/gy /t Z6 X X X X <br /> /0:yo �K 4 <br /> R- alms At /( - lass r )e x <br /> 1< <br /> I <br /> w <br /> Collected By: 4j j lqaL-o Date Time 7: iu Delivered B z yy���ate Time 4j <br /> Relinquished By: Date Time Received For Laboratory Date - .� Time <br /> Turn Around Time I] Normal Rush r <br />