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SunStar Rocky Mountain Chain of Custody Record ` s <br /> 741 Corporate Circle - <br /> _ k <br /> Suite I fix- dA�Ps t <br /> Golden,Colorado 80401 <br /> Phone 303-277-9310q for <br /> Fax 303-277-9531 <br /> Client �� -tsoci ckk'C5 Jr/l C Date U$�6 Pae Of <br /> j <br /> Address AyP � � Project Number S D C"X'71 <br /> Phone _ Z Fax OIJ-STJ Z� ,5 Collector l���5 Client Project id Vvtq,Y <br /> Pro ecl Mana er Batch# Proposal# <br /> N <br /> � N <br /> ctll � <br /> C � <br /> m N <br /> Qf <br /> Q NCC <br /> m <br /> Oit <br /> y m [L <br /> qk N <br /> O p O C <br /> 4] d O O1[r 1p O o Q �' U <br /> N [p r` O <br /> !U r r O ltl ' <br /> TiU�0 orb m CO V t00 m Gip w ,n m W Z I I <br /> Date me Sample Container Q Q Q ¢ Q Q Q Q Q v 0 m <br /> a_ a a- 0. a_ rl a- 0. Q. Q Q p_ <br /> Sample ID Sampled Samples Container Type ur w w w w w w w w r- U) " Ta. Comments F <br /> YI U 0%16t1 f? rgoo w- ' <br /> 9 5W 7810 <br /> r <br /> 14 <br /> 12 � <br /> r <br /> �r <br /> i) <br /> Relinquished by (s3gndure) Date Time Rellnquished by(signiture) Date Time Total#of containers Notes <br /> e � �ff1-lG'{ f j"d ��G�' �— � 3 /�" Chain of Custody <br /> Ir�tact�YMMA ��ro�-l� � t vt�UC Q;�T�C� r <br /> Relinquished by (sign/iture�) • Date Time Relinquished ter(sfgnilure) Date Tlme Received on good condition? � oxY+5 M*p��l <br /> ETUI 778A <br /> Relinquished by (signature) Date Time Relinquished by (signature) Date Time `I Z. h c-^ 4 tr n a 3 <br /> Turn around lime S jot j 0.{ ) <br /> Sample disposal instructions Disposal Return to client Pickup <br /> i <br /> y� <br />