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• • <br /> AMERICAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE. { z 1 J <br /> LA.AL'rTlCB (818) 998-5547 (818) 998-5548 1-800-533-TEST 1.800-533-8378 FAX (818) 998-7258 PAGE J OF_� <br /> AA C 7 <br /> V I �� �L3 4q ?( Naa s <br /> Protect Manager is 0 No Sampler's <br /> S+ tore <br /> Protect Name Protect No Pro anger's <br /> Signatlre <br /> Job Name <br /> ANALYSIS REQUIRED <br /> and Detection <br /> Address �`' `l s< ``~ Stn_ 'c� ` L4ruts <br /> Test 4� <br /> �y Test Requirements <br /> A. <br /> AClenta Name \d <br /> LD#t LD D+t Tkne Type of V� <br /> Cordakwa <br /> s <br /> t, <br /> t <br />' � �{+ vac.✓., ti. <br /> 41-1 <br /> �.J -[ <br /> P Al <br /> 8At#[PLl INTEORITT-'T0 HB yn.WM IN By pjDMVINO LAB %hwww by. Date T1m�e/ by <br /> Sa+rwlea Y�tatt Yse No a <br /> Swriploa �oPerb Coaled Yes No Date Tme Received by1 <br /> Sanoes Accepted Yes No <br /> M Not my Ro6xgds#ad tnr Date Tyne Received by- <br /> AA <br /> rAA Protect No + r r } ��^ ROb'Q1ed by Date Tone Received by <br /> D#STfiOU7tQPt: White - Laboratory, Canary - Laboratory Pinit - Account Executive, C3PW - Glgrlt I <br />