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SunStar Laboratories, Inc. Chain of Custody Record <br /> 3002 Dow Ave., Ste. 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> z / <br /> Client: G/1 PLf YC'G Ze/��/// �( / —� /?C• Date: ` O I U Page: Of <br /> Address: / { ,�XCtl�>i7 1 d. /� C . CEJ Project Name: LAuFFF2 /2oM) 'j- -7-` <br /> Phone: Fax: Collector: /7•$k2,Jro-f Client Project#: <br /> Project Manager: Jr s_ SCi¢ Batch#: T iE(O o 1 -1 �i EDF#: <br /> v <br /> C STD. TAT <br /> } o <br /> X - <br /> O ) No <br /> C <br /> C w o <br /> O F m <br /> �' w o Z o `o <br /> + m m g g g C m xc <br /> Sample Container o 0 0 0 o o <br /> Sample ID Date Sampled Time Type Type ro m m Comments/Preservative <br /> / /fir <br /> ry X I I O-Z-1 / <br /> QZI / <br /> Q a v <br /> Wbye(sigtfature) <br /> e)L Date/Time , R ed by: (signa e) Date/Times 3 Total#of containers NotesZ�� lChain of Custody seals Y/N/NA / �bN'^48'P•e) C7Date/Time Receive y: (signa re) Date/Tiime Seals intact?Y/N/NA/ p / Received good condition/colde) Date/Time Received by: (signature) Date/Time <br /> Turn around time: ST�N t7 ht21T <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br />