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Arr1ERICAN <br /> AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE <br /> ANALYTICS (818) 998-5547 (818) 998-5548 1-808-533-TEST 1-800-533-8378 FAX (818) 998-7258 PAGE OF <br /> EAACIentl F-I r"'( F 0 ( t— C GO °Lo 92-�5 "°j 3 r Name' S F P_44 7�Manager C H��� `jN Z S C U P O No Sampler s <br /> 1' St natue <br /> Pra�ect Marne ci A f Project No Project Manager's <br /> Signature <br /> Job tJame <br /> �-, 5 7-/� ANALYSIS REQUIRED <br /> and 2 D I,�'/L L S 01�r' r - Limits Detection ' <br /> Address <br /> S I OC KT0q J �0 fTest Test Requirements <br /> FLD1111 <br /> c�,t s surple NurlbeT Name C/ <br /> LDLD Date TWO Type of <br /> Containers <br /> z1 —�- (� 0 2 i <br /> -F6 '— 6 a Z <br /> ^� I6 �� <br /> VO7PAMov-4 <br /> 6114 2— <br /> BAtl[PLA IN?ZOti MY TO BZ TILLZD IN BY AZMVING LABDate Time Received by <br /> 'W771 <br /> SangbM�t <br /> e act Yee NO 1 tl7 U rr Q� [-t + �7�t-I <br /> SwrVios Propedy Cooled ,L Yes No Rekpgh wd by Date J TINW � Aeecdv b <br /> 9eno" Accepted Yes No I 1 l Y V 1 t ` A y. <br /> k Not Why Rslnoshed by Date Tw" Received by <br /> _f <br /> AA Project No Rehwist+ed by Date Ttme Received by- <br /> -H ANNIaL <br /> DtSTF11BU Whits - Laboratory, Canary - Laboratory, Pink - Accountqwtive, Gold - Ciient <br />