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® AMERICAN ANALYTICS CHAIN-OF-CUSTODY RECORD <br /> 9765 ETON AVE, CHATSWORTH, CA 91311 DATE <br /> ANAL (818) 998-5547 (818) 998-5548 1-800-533-TEST 1-800-533-8378 FAX (818) 998-7258 PAGE � OFX 7_ <br /> AA Gent <br /> LIr? a7f7 t_B/J�J/" Phon 1-0 c . Namme <br /> E a t� q/1 �CJk <br /> Pr :oject Manager � , PO No Sampler a <br /> I Si tune <br /> Protect Name -;a� G 2/ Project No Project Manager's <br /> Signature <br /> Job Name <br /> lJt� ANALYSIS REQUIRED <br /> and Detection <br /> Address Limits <br /> AV/ <br /> Test Test Requirements <br /> A.A. Clent's M,iw Name A <br /> Lo a to Date Time of t� ry <br /> Type <br /> Contalnera <br /> r ,0 <br /> L�s,bo — � — <br /> 9,2,0 <br /> 192,4):S' <br /> �7��yrtp <br /> QAMPLX INTE6Rr"-To HE PILLED IN HT RWRIVrNg L" Reltn*g>ed by Date Tineed by <br /> samples Intact Y66-Ho J .2,3 9 12 r <br /> 8++1101a Properly Coded yes No Rebnhhed by Date Time Received by <br /> 9arnpise Accepted Yes No <br /> K Not Why RokgJahed by Date Tyne Received by <br /> AA Project No 1/ 115 /7/ Reknhshed by Date Tyne Received by <br /> DISTROUTIOM White - Laboratory, Canary - Laboratory, Pink - Account Executive, Gold - Ctlent <br />