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SunStar Laboratories, Inc. Chain of Custody Record <br /> 25712 Commercentre Dr <br /> Lake Forest, CA 92630 <br /> 949-297-50120 <br /> y.- I` Ejr �PrYI� 7k 5&7&a a ( 'Y�i . Date: HaY I, VA j�1L — Page: 'Z Of -Z- <br /> Client.. <br /> Address: Project Nam—� e:ViOZ-S C&ftjin�A :y�'Y2C �1 �f 0:4-- o ��6 <br /> Phone: i� Fax: Collector. k i Bt+ Client Project#:Iq^JJG�J` I <br /> Project Manaoer. <br /> SaYllnaMyVis Batch#: �'� �- EDF#: <br /> Z. L N w <br /> }O o N m <br /> V X O # <br /> O 00 o N U F o <br /> N m <br /> w w m b w o o `o <br /> Sample Container N n "' "' fl Q a o <br /> Sample ID Date Sample %,T,meT7e Type M M M M M M ww w S Comments/Preservative l- <br /> -(0 2x14 }e(act-S lh <br /> 1 SOpt -s '-tSID -(g tt^ 10 <br /> 7-- Z <br /> Z-to Z c Zrc <br /> ished i nature) Da /Time R ceed b . nature) Date/Time2F C/ Total#or containers Ajotes <br /> K J4 Z JO .62 Chaffn of Custody sealsA— NA - D� <br /> Relmqui ed by: si nature) ate/Time eceivedb e) Dat /Time Seals intact'. A J/NA _ ��_ <br /> 5' S 8'SO 4 P:Sd Received good conduion/cold 5..�- ' <br /> Relinquished by:(sig to ) Date/Time eceiv y:(signature) to/Time ---�— <br /> Turn around time: <br /> Sample disposal Instructions: Disposal @$2.00 each _ Return to client _ Pickup <br /> COC135502 <br />