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0 . <br /> "" AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD - <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE <br /> Avnos <br /> A (818) 998-5547 (818) 998-5548 i-808-533-TEST 1-800-533-8378 FAX (818) 998-7258 PAGE OF_ `7 <br /> FAAYent 0" 'IP Phone Naamme ' .Dc� LQ uk-1ct Manager PO No Sampler'scS+ tura6ft Name Toe I Project No Project Managers <br /> Signature <br /> Job Name <br /> '210 IV, W('r10n S 4t&b^ to ANALYSIS REQUIRED <br /> and Detection <br /> Address Umits <br /> Test ` Test Requirements <br /> A.A. Clients Semple Number Name <br /> LD 0 LD Date Time Type of �O\ <br /> Contalnere <br /> x <br /> Sr-.2 <br /> 0 <br /> 62 M)- I to x <br /> Ujn11-z8 <br /> .-P/2 o Irwl— o <br /> /7 Vrrl -kr <br /> VM 0 <br /> VM - ,_L1 <br /> - <br /> 12,174 <br /> Vuj — <br /> Vw2-1, x <br /> 121 6- Irwz--),o <br /> V'Wz-3e) <br /> 7 9 VWZ-3S <br /> nvi-yo k <br /> 2 0 ►'wz�y,� � <br /> BAWLN IN7V0R=-T0 SY XILLBn IN BY IiWMVING L" Rei>oAtwd by, }Date Time Rrilved bir A <br /> samples Intact Yea No /3 t 3. • <br /> Swoks Property Coaled Yes No RaboAshed by Date Tins ReceNad by- <br /> Sstnplea Accepted Yes No <br /> N Not why. R"wAfthsd by Date Ttma ReceHed by <br /> AA Project No /I f 7/ _ / Re* � by Data Tine RaceMed by <br /> DISTRIBUTIOM Wtdte - Laboratory, Canary - Laboratory, Pink - Account Executive, Gold - Client <br />