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MENIM <br /> SunStarLaboratorles, Inc Chain,of Custody Record' <br /> 326 Encinitas Blvd, Ste 150 <br /> Encinitas, CA 92024 - <br /> z <br /> 1-800-900-9333 - <br /> Client Al C Date �; ,;, r , Page Of <br /> T r i �� ('F� t, �' r ,`air t- j1a=� t, Project Name tm x t� <br /> Address I 1 1 <br /> s <br /> Phone . ,'+ �","DS'3 t Fax r '' � `� {Collector i di�, Client Project# � <br /> Project Manager f ` �� 3. � r I % W Batch# Proposal# <br /> { <br /> N <br /> LO W <br /> fll � <br /> m N <br /> N <br /> �� � � L <br /> o U) a <br /> U) <br /> ca O O <br /> S o ❑ <br /> N h [b CL7 <br /> (] Lr) 4 tOw <br /> aQo coo allo aN0 CD <br /> � coo m CSO ((a <br /> Sample Container a Q �t a a ¢ Q a ¢ N <br /> Sample ID Dale Sampled Time, Type' " Type w w w w w w w w 1w -J a Comments F- <br /> VtAl <br /> 4q <br /> vt <br /> � z c <br /> Relinquished by (signature) Date 1 Time Received by (signature) Date,/Time Total#of containers ; Notes <br /> S,a e <br /> 4, x— ,,--,,,---- �,{- -- s'w;, (►(7 , t i 'f"' ?C'C's Chain of Custody seals YININA r {,t <br /> ;fk t0Ilrlg4shed by (signature) Date I Time Received by (signature)' Dale Vtime Seals intact?YININA <br /> �K ww <br /> Received good condition/cold X �0()/L <br /> ie <br /> `_4 Relinquished by (signature) Date 1 Time Received by (signature) Date I Time ,� "t , , r l, ;��, >� ��t# <br /> ��<<p 1r.s;.d x:�lifr <br /> Turn around time <br /> Sample disposal Instructions Disposal @$2 00 each Return to client 4 w Pickup ` <br />