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AMERICAN AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE. 02- <br /> M LJ <br /> ANALYTICS (818) 998-5547 (818) 998-5548 1-800-533-TEST I-800-533-8378 FAX (81B) 998-7258 PAGEOF� <br /> AA GentPhone Sampler's <br /> -THRr o(L cdMPr4tName <br /> Protect Manager a PO No Sampler s <br /> C F/p I 4H IT► F 5 C LJ Signature <br /> Project Name y o Project No Protect Manager s <br /> Signature <br /> ANALYSIS REQUIRED <br /> Job Name M Detection <br /> andZ�i D N . W i L'S O 1X1 f} Limits <br /> Address Test Requirements <br /> STOC llTO H g 520 S Test <br /> kk Cunt a 58 NALKY11ber Name <br /> LD a to Date Tkm of <br /> er <br /> �� / �j ,y 2 Type Conteine <br /> `J <br /> 3 M Wr—l. 02- q] 'iAlG 1,,Q wmr-'(Z 2— <br /> T11 <br /> TQ -- az 1),� B' 55- F?' 2- <br /> — — — <br /> 3ti M►xr— R ox (3 '1b 41,'40 %XftTP-P- Z <br /> 31 TG-* 02- L�,'k IY-�L WFa <br /> 31 Mw—ate oz 55 vo4f c.,�' 2—`i3 Os M vw—� oz J3 31 j k ' 00 WF—P— Z '`rr <br /> y3+1b Tfl-4 OZ illU tt1 ,0`- VA-f0,1 Z — <br /> � T12 i t' i3"40oz 12) 3b 6 &0 uc MQ 2- <br /> NA31p" INTwRrTZ-To HZ FILLIEn IN B7 ]GIVING L" R by Data {{Time R ed b <br /> sampiea wact Yea No w. iL A � Low FA A, <br /> Z <br /> samplea Propedy Cooled Yes No RekKpWM by Date The slued by <br /> Sanplee Accepted Yea No <br /> Rokxoabed by Date Tone Received by <br /> If Not Why <br /> AA Project No n ��—�,p Rer,F"'°d by Date Tine Received by, <br /> DISTRIBUTIOM White' - Laboratory, Canary - Laboratory, Pink - Account Executive, Gold - Client <br /> I <br />