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I <br /> SunStar Laboratones, Inc Chain of Custody Record / ,�,\\ <br /> 326 Encinitas Blvd,Ste 150 0 V �O <br /> Encinitas,CA 92024 <br /> 1-800-900-5333 <br /> Client: Date__ ��D i _ Page-- Of ! <br /> Address Project Name T'T <br /> Phone — Fax :579 ZZ, _ Collector_ Client Project# � <br /> Project Manager DQ0wW&!� Batch# 00-21 Proposal#- <br /> I <br /> ' m � <br /> � m <br /> a o <br /> > <br /> N l0 N W r l] W <br /> Sample Container OD m w m v w m <br /> Sam _ <br /> p a a a a a a a 91 , <br /> Sam le ID Date Sam Time T Type w w uai w w uda w w `9 a- Comments ° <br /> T W.25.0 r A <br /> O AL <br /> V ]ice <br /> 0637-5-7 <br /> 06=3 92•rW 1961 .1 <br /> Ise ' L <br /> Relinqu ed by'(signatu pate 1 Time ed by-( re) Date l T[me Total#of containers Notes <br /> 6 I7 D j / p Chain of Custody seals YININA <br /> unshed b q ) Date I Time eceivtry ( tura) Date 1 Time Seals intact?YRrIINA <br /> Received good condibWcold <br /> Relinquished by(signature) Date!Time Received by (signature) Date 1 Time <br /> 11 1 Turn around time <br /> Sample disposal Instructions Disposal @$2 00 each Retum to c5W _ Pickup <br />