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AMERICAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> ;ff <br /> ATE <br /> 9765 ETON AVE,AVE CHATSWORTH, CA 91311 <br /> AHALYTICa (818) 998-5547 (818) 998-5548 1-800-533-TEST 1-800-533.8378 FAX (818) 998-7258 PAGE OF <br /> AECle"nt rW V (v CvJ`?Pq �62 `;-3`��� Name,'Prager p p Sampler's <br /> Ct-f f S 7�h/ftl% 5 Gt� <br /> Signature <br /> Project Name tq n— p L Pro)ect No Project Manager s <br /> !CI 1�/�J -379 M PalY49 Signature <br /> S S 76;1 ��'� ANALYSIS REQUIRED <br /> Job Name Detection <br /> l <br /> Address f 2'�D W ��nr�/ 1?(/f>� umlts <br /> � vC i� C�l� C`�� , �.�> .ZO 6 Test x f� GQI Test Requirements <br /> AA Ciente $ample Weber Name `E V <br /> tD a to Date Tim• Tyle of <br /> Cantalnen JJ�` <br /> �?Zr, 7 T -W fl 1h ',6-0 WtgrF2 <br /> 7P-, Xx — — — <br /> 5�7�� - <br /> 5-7Z► Z MW-�R 1 'Z0 3 — � <br /> 3 X — <br /> 5 TZ)5- NiP 6148k <br /> SAMPLR INTEGRIIZT TO RA FILLED IN BT RMCEIVINO LAB n Date Time Flecelved by o <br /> se"v4s bmac1 yM (TI OVF_(ZNI(;P-F <br /> Samples Property Cooled Yes Pia RekxOehsd by D Dale Tkw necdved by' <br /> Samples Accepted Yes ^No CA . 0VF.,QtA i G7r {k fd l 0 ,*Jv <br /> K Not Why — Reingllehsd by Dili �71"M Rscelelved b r/ <br /> AA Pr lett No /1 )35j'7j- 1q "ak'¢�'"by Cale DM RecOved by <br /> –_ – <br /> DO,Jv11Ftt 1_nh,)rnlory r; hr <br />