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�MEpICAH AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE °2-/6--00ANAL1rTica (818) 998-5547 (818) 998-5548 1-800-533-TEST 1-800-533-8378 FAX (818) 998-7258 PAGEOF <br /> AA Clent © Sampler's <br /> 2� 12 t-6 Name <br /> Protect Manager <br /> P N <br /> Signature <br /> Project Name r Project No Project Managers <br /> pop? PtO4 Signature <br /> ANALYSIS REQUIRED <br /> Job Marne `� , Detection <br /> and 2. J6-0 /- l <br /> AdL #J Lv tJrnitAddress <br /> Z r O C,2 0� ct� 13-1© !� <br /> c� Test 'l, Test Requirements <br /> AA pent a sample f k rber Name <br /> LD• LD Date Tkm Type or <br /> Cont&wa r <br /> 1B 12-V o 15Imo" 10 ; 10 <br /> W jv 'sU x - - - <br /> 'Q 1o ' ?C X <br /> RCG I T& 1A 1 '.rte X <br /> � i a I I w 11 "40 <br /> �z 3C a"00 _ <br /> '+U784 12 -�o <br /> 102-73cc 9 X <br /> a 4�►tr���M j Q ,�a �t X <br /> tiuuiarLA xrrrWWW so B: F=" IN BT xBMVURto I br ate Ttlne Received by- <br /> Sarraee iftct Yee No �- oZ_r�. C44. <br /> e ProPMfy Coaled Yee No Retrglietred by I /�, ,�} ata Tir Received 6y <br /> Samples Accepted Yee_J�No L it J - D V f��}( 6 !tel! O t_15j-Co t ,W <br /> K Not Why �by ate Time by <br /> AA Project No 1 2 "7 1 / RekwMWied by ale Tkr" Reached by- <br /> DISTRtBUTidPk White - Llabborator ! 1Can y -[�L"oretory, Pink - Account Executive, Gold - Giant <br />