Laserfiche WebLink
SunStar Laboratories, Inc. Chain of Custody Record <br /> 25712 Commercentre Dr <br /> Lake Forest, CA 92630 <br /> 949-297-502r00 <br /> Client: Date: 10/5 7111 Page: t Of 1 <br /> Address: l '70,3 T-/dpg uf17f-K A-Ve. 516 Y* Project Name- Nj oA!- �pt1C L <br /> Phone: '{_"& S10)y3y-U00 Fax: ,rt0 )4/,3Y-76' Collector.5TV1011ftJP#'Wcts Client Project#: SIS-35'2-1 <br /> Project manager_rrftffv ry3i Batch#: T///.59.3 EDF P. <br /> • <br /> CN <br /> N N <br /> T t m <br /> E C y <br /> 0 N N <br /> } N C <br /> )C O m ~ v <br /> XX m <br /> Q F F a v Lu O o `o <br /> + CO m g g tz <br /> Sample Container m m m o N h n o n`o m <br /> Sample ID Date Sampled Time Type Typem m m m o m m 1 -9 1 Comments/Preservative F <br /> s7 1 :go So/4- <br /> of I <br /> / - Fu I I 5az T>O I2 t <br /> 1700 L <br /> z7 r O L <br /> R47tl I Poo '- <br /> • -2-Rr o i It r;) 7 Ott- <br /> 1:30 <br /> /L IL 6 t l <br /> Relin hed by: 'gnature) r ante/Time�f Receiveedd,bb ((s�ignatturre) �1 pDate 1/Time Total#of containers Notes <br /> "/11 I/,� �� r "' '�`� (� F2 VO f Chain of Custody sea /NA <br /> elinnq�uished by:(signature) Date/Time Received by:(si It tur Date/Time Seals iniac V INA <br /> lo-of-f( IP5-0 _ .. _ _.._ i.. - Received good condition/cold <br /> Relinquished by:(signature) Date I Time Recgod by:(signature) Date/Time <br /> Turn around time: ISM <br /> Sample disposal Instructions: Disposal @$2.00 each _ Return to client _ Pickup <br /> COC 101118 <br />