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0 <br /> n s Inc Chain of CustodyfecordLa <br /> : <br /> SunStar Laborata e , O -ZO cc <br /> 326 Encinitas Blvd,Ste 150 <br /> Encinitas, CA 92024 <br /> 1-800-900-9333 <br /> 0 <br /> 0 <br /> Client_ A r—cAslm -4-765 Z�C. Date Page o <br /> Address /117 LoN&R,4t ein 11E. • <,rrr l3 — Project Name <br /> Phone �d"1 79-ZZZ1 Fax S79-L2 _ Collector GAA66Client Proiecl# 54, 96.o�j m <br /> Project Manager zpew V Batch# Proposal# <br /> 3 <br /> N <br /> � y T <br /> N � <br /> C m 1 <br /> O <br /> 47 "' C M <br /> NO O 0 O Li <br /> � m <br /> Q rev r r o o �° <br /> W awo m CO m m w to v <br /> Sample Container a a IL a a a CL a " Iv <br /> Sample ID Date Sampled Time Type Type w w w w w w w w w 6: Comments o <br /> �FFL�eG�,T ZO 5.36 YA � �isrr �- 3Z7 ! <br /> ,vF�u ;bW 3 15• ,veil's <br /> ,J-1 6So2.�&3 A6:0'9 YAAM &WlsT <br /> U iJ -Z &502.0 3 e.- 9eZ 1 <br /> V vi--3 OS°Z e 3 tom. <br /> t,� oSOZo 'S U m� t i <br /> Relinquished by (sl tore} Date!Time Received by (signature) Date/Time Total#of containers Notes <br /> –0-4 Axv►�ysis 7OI�! <br /> 05Ow3 3;bel Chain of Custody seats YIN/NA <br /> Relinqu y ( ig tura) Date Time ceiv b ture) Date I Time Seals intact?YININA ��� Q'�X t P-TB&ti <br /> Received good eondiboNcold �,Pa, '�' wr., <br /> —3A I t+ZDr <br /> nature) Date t Time lrrwLt� Edt3 ,4-r A,r sOAPI�u.VI <br /> Relinquished by (signature) ate I Time R ived by [ 5,4,rwt r iU-r,4 .1 A <br /> Turn around time Tp►�� X311. <br /> IV <br /> Sample disposal instructions Disposal @$2 00 each Retum to client Pickup <br />