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SunStareoratones, Inc Chain of Cu ody Record <br /> 326 Encinitas Blvd, Ste 150 <br /> Encinitas, CA 92024 <br /> 1-800-900-9333 <br /> ti <br /> t <br /> Ghent A111_ f`t i1 ! Date Page Of <br /> Address ,11 'Umc. _ .Pole A ,I P �.� Protect Name r � ,� �� mom► <br /> Phone 2 t9- 5'f 7- Z??-ZI Fax Collector 1 #t' l-e Client Project# <br /> Project Manager t� V _ oun Batch# Proposal# <br /> I N <br /> N � <br /> �,Qv7 N <br /> T <br /> o y 0� 17- �^ c <br /> o o cru <br /> o o 0 <br /> c <br /> o <br /> 0 O N N m 0 0 O 0 ` o <br /> w M M w � w M (o [o t yt 1. o N t <br /> Sample Container ¢ ¢ ¢ ¢ ¢ ¢ a ¢ . <br /> Sample ID Date Sampled Time Type`, Type w w w w w w w w w � a Comments <br /> ! t 4-- J1c obi <br /> 9.►� <br /> i <br /> Relmi!iuished by (signature) �D.atte 1 Time Received by (signature) Date 1 Time Total#of containers Notes <br /> F F , "' Chain of Custody seals Y/N/NA ��{ <br /> Relinquished by (signature) Date 1 Time Received by (signature) Date 1 me Seals intact?Y/N/NA <br /> Received good conditiontcold <br /> Relinquished by (signature) Date 1 Time Received by (signature) Date 1 Time <br /> Turn around time <br /> Sample Disposal Instructions Disposal Q$2 00 each Retum tp client Pickup <br /> t <br />