Laserfiche WebLink
SunStar Laboratories, Inc- Chain of Custody Record <br /> 3002 Dow Ave , Ste 212 <br /> Tustin CP 92780 <br /> 714-505-4010 <br /> Client Date [ _ Page --- Of <br /> AddressH <br /> " �" Pro;ert Nance <br /> Phone ` - ' N_ Fax ! - qt r Z~ - Collector i?.t e " i Client Project#"-4f)-)t <br /> Project Manage r�� � --- _-- Batch# _W EDF <br /> U <br /> CE <br /> 21 <br /> m <br /> �- t17 <br /> Q C (s5 4 <br /> o ~ ' D <br /> X X m o c) <br /> 0 w V tL r16 <br /> Sample Container o N 0 W. to o i <br /> Sample ID Date Sampled Time Type Type m "�` Co�imr nts�PresYr�aisLQ ° <br /> WOV , Sol c <br /> X4 N P40 A <br /> TI <br /> c� i Q a <br /> — Ia <br /> 1L- <br /> So s } r t <br /> "Iioy Lc��0 - � <br /> ` Lw <br /> J* W <br /> ! . ..� V Ade i4..r <br /> tit rtt,101d nv Sigr, Oate,Time R2ururved bey (stgnat .) Date,Time Total#of containers �f Notc-s <br /> k5� LSCgd 3�1) Chain of Custody seas Yr�, <br /> el Gushed by (signature) D to/T ime Receive T try ts',p K5,ruW Gate; irre seals'n ac.t3 <br /> I <br /> RpreEve"goad coed jinn, <br /> �I nq_rished by fs gnatu e1 D,ie;T�rrr Received b� (sienature) Dare T it ON <br /> -_ Tacit around time <br /> 1-;,sac irstruct o is U s osai a2 00 oact7 <br /> � rC�1 ash n z It;,i <br /> I <br /> I <br />