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SunStar Laboratories, Inc. Chain of Custody Record <br /> 25712 Commercentre Dr <br /> Lake Forest, CA 92630 <br /> 949-297-5020 /� . <br /> Client: d ��i° <br /> So PInGC /K6, Date: ./! t't 1 V1 '7-01H Page: Of <br /> Address: Project Name:`ZGj02 -) Guh�ir� �f✓�'t ���kia7�5-'���� <br /> Collector: <br /> � Fax: ctor: 9 kith Client Project#: <br /> Phone: <br /> Project Manager Sa mGth`7b'r� A VV i s Batch#: �cl. EDF#: <br /> Y <br /> C � O <br /> t0 @ shy <br /> L O V <br /> C C N <br /> }}O N C <br /> VX .O cV N <br /> c m # <br /> m <br /> 0 W W Ot l5 t j o O O <br /> + Co m +1 N 76# <br /> Sample Container N o Q Qo <br /> m <br /> Sample ID Date Sample Time Type Type M M M M m m oro m coo S Comments/Preservative F°- <br /> _fp 4 Zot4 10'-�5swr m4) l} <br /> x Qyn <br /> -� <br /> ! % <br /> 6tV �- z3 <br /> i f- 2:tZt ly <br /> • <br /> it- 10 2:26 <br /> I-- IV31z <br /> Z-fO Z- c 26 <br /> ished i nature) Date/Time R cei ed to . nature) Date/TimeZ Cl Total#of containers Notes <br /> K �4 7j1 o Ch n of Custody seals !/NA D- TA <br /> R0 inqui ed by:(si nature) ate/Time eceived b e) Dat /Time Seals in tact?�A INA �_'1 f <br /> Received good condition/cold S.;7- t <br /> `�. <br /> Relinquished by:(sig atu ) Date/Time eceiv y: (signature) ate/Time <br /> Turn around time: <br /> Sample disposal Instructions: Disposal @$2.00 each _ Return to client — Pickup <br /> COC135502 <br />