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r r �■r rr r �r rr <br /> SunStar Laboratories. Inc Chairs of Custody Record <br /> 326 Encinitas Blvd,Ste_ 150 /^ 3 <br /> Encinitas,CA 92024 <br /> 1-800-900-9333 w <br /> A ` 0 <br /> Client ATC QSSOG, teS Date 0 _ page o <br /> Address 1)«' LOAe W%66 �_ i B� _1 - Protect Name <br /> Phone Q. -z L Fax }q-ZZZS Collector IQ KLtz re s Client Protect# 5 �Z59�r OGd <br /> Protect Manager r N Batch# Proposal# <br /> m <br /> m 3 <br /> m w <br /> m <br /> � � Z <br /> N <br /> C U <br /> Id <br /> m {D <br /> 4 CS O O C< IDC <br /> a N in oP, w p o t Ta o frl <br /> m W co KO V m co, m m # <br /> Sample Container ¢ < ¢ ¢ ¢ ¢ ¢ d dn. a 1° <br /> Sample ID Date Sampled Time Type Type w w w w tail ut w w w � a Comments ° N <br /> 32 03 25 's< .m 26 o <br /> 1119 Il I I 3Z a <br /> toGqqO I t 32?_ <br /> i <br /> Relinquished by (syign2tturre) ,, Date I TI-me Receivedby (signature) Date I Time Total#of containers Notes <br /> I ✓ JC &Ax_,_ 03Z$ohfoo rte �X X32&a3 s0 Chain of Custody seals YIN/NA s���l� f'�AAi.a <br /> C <br /> Relinquished by (signature) hate I Time Received by (signature) Dale 1 f ime Seats inlact?YININA ta£A <br /> Received good condibonfcold LC,6wT Q •Tabb��obt� <br /> Relinquished by (signature) Date f Time Received by-(signature) Date t Time Ar1�1y51� triduk 5TH ilv� <br /> MTBE ETBE!rBRiYrsME,taipE, <br /> Turn around time C40AA E 2D[A, <br /> sample disposal insuticum Disposal 0$2 00 each Relurn to chant Pickup ' <br />