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AMERICAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHASWORTH, CA 91311 DATE <br /> ANALYTICS } ($18) 99&5547 (818) 998-5548 1-800-533-Tr-sf 111 -800--633-8378 FAX (818) 998-7258 PAGE OF <br /> s <br /> Sampiee <br /> J— <br /> AA crept �. D- C n6 P 3 �$ Name <br /> ' �8 . <br /> I F 3X ropct Manager <br /> P O x sampler's <br /> FBF 'Uta l�FLUS I�I�� " SI tura <br /> I <br /> ' Project Name Project <br /> project Managers ! ' <br /> Signature <br /> ` . ,.A14ALYSIS REQUIRED <br /> J06 Nimel �! Detection <br /> � 114, �o Limitswl <br /> —­% t Test Requirements <br /> 9 51D67_ Test <br /> Name Q <br /> F ` <br /> Sample Nlu^'h�r <br /> Dat4�" Tuns Tie Conoat+ers {; b <br /> I IleL f�Orah Folz CoNg A1,011S. <br /> lG' �S 3 U5F_� t'N CIS, 67,4601-W6 <br /> PPA- lLt F_?NoD 8260 <br /> `r! <br /> x ;avMNoL <br /> `Sao <br /> *,K <br /> M6- <br /> SS Tic <br /> -4, All 07B61 <br /> •u TMF <br /> y_ <br /> 1 � u <br /> pegiehsty Date ;'ma ReceNed by <br /> sAIdPI.lC II8'!E(3TiITT TO Ba!"dLLED 7N BY �IIVIIdU LAB `� <br /> Sanpise Intact Yee tJo f CIA- 0 V F'P-O'>Gf <br /> to Tme R by <br /> SAmpive Property Cowed pbbxodhod <br /> 16T [U0 UU <br /> s+nviea Accepted Yes No PU 1 Y! [L) V <br /> pt nr Date Time Received by <br /> tl Not wny <br /> p -,�� Date nm Received by- <br /> AA <br /> y <br /> AA Protect No 1"2,2-. <br /> D43TROUTlOM White - Lab tory, Canary aboratory, Fink - Account LY,cecutive. Gott - Client <br /> . - 0 14 is 1 0 <br />