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SunStar Laboratories, Inc. <br /> 3002 Dow Ave., Ste. 212 Chain of Custody Record <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client: Date: rU� Page: ^ Of <br /> Address: O BL9fC- ✓�'✓/� W 54-r— C Project Name: Wer L nu FF�R�vA� t�2o+'LR T� <br /> Phone: W6- i'L!'V43 Fax::'?/ ��� Collector:�•�Un�y a�=��' $ ��£IientProject#: caS34c <br /> Project Manager: �� tzrtsc,4- Batch#: T $00 O\3 COC 72742 <br /> jbnsca�wta,ajc ;trc n)r '<cam �1 <br /> W <br /> C N <br /> m m <br /> O O N C <br /> O N <br /> X c <br /> YF- XO <br /> O W - O O <br /> I <br /> + do U <br /> 3G <br /> Sample Container N "' "' "' a o <br /> Sample ID Dae Sample Time Type Type to m W m m m m m m Comments/Preservative ff 3T(7— lass DI <br /> 5 /C) X 02 <br /> Sil 3 <br /> , z <br /> 0 <br /> l <br /> Relinqui by: re Date/Time a y: (si lure) Date/Time/ Total#of containers en <br /> I� UY-bf- <br /> / (� C'. 08 b Chain of Custody seal/N/NA <br /> Relinqu ed natu Date/Time. Recei d by:(signature Date/Time Seals intact? <br /> G/ 0 D �c�.� 6 pqe- OQtOD Received good condition/cold <br /> Relinquished by:(signature) Date/Time R eived : (signature) Date/Time <br /> Turn around time: STA+dnnp-p <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br />