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SunStaNLaatories, Inc Chain Of CUs y Record P, 7tp7M I <br /> 326 Encinitas Blvd, Ste 150 I <br /> Encinitas, CA 92024 <br /> 1-800-900-9333 <br /> Client Scot` Date ►t) - Page Of <br /> Address ZOOM, 1w t mr� �Q Project Name Pro ! F <br /> Phone 5?9 -2'L r Fax ' — Collector A U.J( r1O+rf Client Oroject# 6d/4ZS94.4DCX!!1,1 <br /> Project Manager 'f T Batch # QX21 Proposal# <br /> m Ln r <br /> € ro <br /> N a <br /> s N <br /> U <br /> w U) �- <br /> m a o I <br /> o o A = <br /> i• `�a m o <br /> O N 0 O r- COu�'r u�'� O O O ,U <br /> coo co c co V iA CSD (gyp <br /> Sample Container a d ¢ ¢ ¢ Q Q ¢ Q 0 m <br /> Sample ID Date Sampled Time Type Type w w w w w w w w w `° d Comments 12 <br /> dim ..nag 011ide. <br /> Af <br /> k <br /> I , � <br /> Relinquished by (signature) Date I Time Received by (signature) Date t Time Total#of containers Notes <br /> �� 0 � �" > s yo ,� Chain of Custody seals YININA } #04 4-VI <br /> Relinquished by (signature) Date/Tim ecei ed by (sig ) Date 1 Time Seals intact?YININA ST`,5,y'IfTV <br /> Ek e4 A e , Y } t <br /> Received good conditionlwld _ <br /> Relinquished by (signature Date!Time R eived b (sign re) ate Time t f 01PE! m <br /> Turn around timet%Aikre <br /> Sample disposal Instructions Disposal @$2 OD each _ Return to client Pickup ;��,P'" <br /> 5 5 , - r � Y r C � .�- -'�r�`�"~Y y3 ' • k ...._,:.t ...a'�,KS'*S.n( .• � � - 3 4• � Y � r <br />