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• i i <br /> AMERICAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE., CHATSWORTH, CA 91311 DATE - <br /> ANAIVTIcs (818) NO-5547 (818) 998-5548 1-80x533-TEST 1-800-533-8378 FAX (818) 998-7258 PAGEOF 2— <br /> AA crit -77�12��Fr ©r L CO �z �P?{�33�� Na ' 43gza/�w p. <br /> Prosect Manager 0:5 P o No siert Samplers <br /> Project Name Project No Project Manager's <br /> Signature <br /> ANALYSIS REQUIRED <br /> Joh Name ,�i <br /> and �2, � �(! t �� �/1'T- lllNts tion/ /ZY <br /> Address <br /> r--- Test Requirements <br /> 5 r o CL�l9tU C4 96`�iDL6- Test C <br /> AA dent, gaMP6 Nunber Name <br /> w# w Daus Thee Type of <;0 <br /> Contahmra <br /> 0 5 ' M LV- b R 1� 161 .0 \)Vi -I- 81s R.akvc RiA r-o+e oda r <br /> _25p 6 0 `TS —8U 16:n 3 v-aa IQ (-N Ott <br /> -76062, 76 —,(,O 16; 3 <br /> 7 U 63 T4 <br /> 5 ob M r11- 3 T&IZV1 g U Tzow0L <br /> I C KW- t6:fir 3 y <br /> 16067 7124 gum 1.16 �P�G_ <br /> SAMPLE INTMRITT-TO BB FMLM IN BY REC351VING LAB ReirrgLhdmd by Date Time Racelved by <br /> samples infect Yee No �'1/�� `� 11t 4d j�--OU C-14— <br /> Samgies Property Cooled yes Z No Reinq`l iwd by Dais Tees Received by <br /> Samplea Accepted Yee No C4 ` o U G c vfi I"l aA C� <br /> Reirvoetod by Diate Tirnsadbyr <br /> it Not why J 1000 T-jal"", <br /> flul <br /> AA Project Nor RokgL shod by Date Trus R&Qved by�- l <br /> DISTRIBUTIOM White - Laboratory, afl boratory, Pink - Account Executive, Gold - Client <br />