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sunStarC__.,oratores, Inc -Chaineof'Cub.Jdy Record - <br /> 3002 D6 2 1"2 <br /> ow Ave , Ste ' <br /> a <br /> � -T7u�s{tii�(,�CA/�92T80 - <br /> T ✓/,14-60514011/J <br /> s _ I <br /> I7 <br /> Client1 pate Page Of. . <br /> Address _ Protect Name ` <br /> i <br /> Phone - ' .Z 1 Fax � .. S�'f rji� .. Collector Client Project#5'"itJ.G�,22}_ , / <br /> Pro(ect Man a er - #� - Batch# EDF# <br /> w - <br /> .a.- <br /> ti r �rff • '�L='1 i�F�k]fq�" � � a .,�"' � 1 <br /> O C N N FiF <br /> O N 2 <br /> y , - O + _ <br /> X C) tai <br /> Lu <br /> Sample Container - O r r o 0 <br /> Sample IQ Date Sampled Time Type Type Co Co co Co 00 00 CO Co M � _ CommentslPreservative 2 � <br /> I <br /> } <br /> 44 —1 <br /> s _ _ <br /> Relinquished by (signature) Date/Time Received by (signature) Date 1 Time m Total#of containers Notes- <br /> Chain of Custody seals YIN/NA " Ao fi # � i <br /> a <br /> s Relinquished by (signature) Date/Time Received by (signature) Date I Time Seals intact?Y/NINA <br /> - — l a r _ M _ uReceived good conditionlcold 1"leir, <br /> y Relinquished by^(signature) Date 1 Time Received by (signature) Date/T-1 1ime _ r <br /> Turn around timer l4 <br /> s w "Sample disposal Instnictions f Disposai @$2 09 each <br /> Return to client Pickup _ c <br /> L <br />