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AMERICAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> E <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE <br /> ANALrTIC8 (818) 998-5547 (818) 998-5548 1-800-633-TEST 1.800.533-8378 FAX (818) 998-7258 PAGE L of <br /> AA CAentSamp", r <br /> 71 JI-i F r U 1 CI.'M I�r?N ;IG �Z1i "�t'�7 Name <br /> Protect Manager `,r 1 P-t' Pi l r/r7 i T F- 5c 4 PO No Sampler e %A- L, L_ <br /> Project Name Project No Project Manager's <br /> Q f,'il 12 l C 0 L \hI rf TF l J`1 r^L/NG SIgnattre <br /> r�- %/ ANALYSIS REQUIRED <br /> Job Name Detection <br /> and <br /> 4 7 i"'d C i r r c f9 Ur NL;F_ Lkwts <br /> A <br /> �7 U C fL T v!� C'i j f� t,� �- Test 4 SCI lest Requirements <br /> AA t, <br /> ILD 0 LD 02to TW* 7A� �c� <br /> �° Contstnery <br /> 52375 MUv 211 3 >G 1G X _ — <br /> 6Z,;�7(- Mw-6 <br /> 32377 MW-q <br /> 5Z--972r )< X X <br /> 5Z37S �1 W-1,,� �(2 ' c _'� X X K <br /> 5z gra M /1 (L <br /> 5Z381 to W-), 12 x �c <br /> 5Z3g-z_ -,Rip r3141a' e 'x 1C <br /> sAlEPLN IRT=RljrY TO BB PILL.NR IN BT 1£tMMVTNa LAB Date Tkn ReceNed btr <br /> s.m « Had No C <br /> d ><,e <br /> 4�&Nsd <br /> Date Tyne ReceNved br <br /> Srrplee Property Cooiod yea br <br /> So"I"s Accepted yes No <br /> br Date Time Received by <br /> K Not Wtrr � ! Z 'rPuA <br /> AA Project No Redn*hhed te by* toTin» Received br <br /> DISTRIBUTIOM WNte - Laboratory, Canary - Laboratory, Pink - Account Ex0cuthre. Gold - CN*nt <br />