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{ <br /> SunStar La tortes, Inc Cham of Cus Record ! 0 qL] <br /> 3002 Dow Ave , Ste 212 r <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client Date �'-l�Ui~'�I+ Page �Of <br /> Address IL,*Ld oC� Protect Name <br /> Phone lhr` - V-3--13)-to Fax Collector Li e-t' ��I�1rt�f.�]t Client Protect# ►r(l Z:i,-4 7C1c. . <br /> Protect Manager bL,t,1ZACkk Batch# EDF# <br /> i c � <br /> T Q1 <br /> 2 <br /> O <br /> >_ n° cNv fy c <br /> XO c m ca <br /> 4 <br /> XLU LU x X K <br /> O F_ I­__ � W a C� ro 0 <br /> Co <br /> Sample Container 0 o m Ln LO Ln C " <br /> Sample ID Date Sampled Time Type Type CO Co Co m CD (D CD '� Comments/Preservative <br /> ti SIL k <br /> a 1L- s? <br /> 144 104 k 36 SO I L, rz <br /> Ll <br /> r.� t <br /> Z SLU <br /> W il 501 L- L tk <br /> f 10 ` rSj� <br /> 4Relquished <br /> ulshed by signa� ate!Time Received L (ssgnat ) ate 1 Time Total#of containers Notes <br /> &Z-b p2 �d Chain of Custody seals Y4 by (sgnature) Date!Time Recerve tb (sig ur Date!'Time Seals intact?YIN <br /> Received good conditionPi <br /> l ;V, <br /> Relinquished by (signature) date 1 Time Received by (signature) Date/Time <br /> Turn around trines""4 <br /> Sample disposal Instructions Disposal @$2 00 each Return to client Pickup <br />