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SunStar L atones, Inc Chen of Cusy Record <br /> 3002 Dow Ave , Ste 212 rf <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client Vc2'4III� Date / vtit`, Page Of <br /> Address ��jt� /� � Sdi� jEks —ct� ��� Project Name (-'!sV�aC <br /> Phone ce - � -� Fax 91 <br /> Collector Client Project# 1[?�-7(�,!D <br /> Project Manager L'p �r,�1 CLOT_ Batch# 1rDF# <br /> I <br /> C_ n <br /> N <br /> C <br /> —' v m <br /> o C <br /> X a t0 4t <br /> c <br /> X X X m m U o Q o <br /> O o ,` <br /> + [L! m o <br /> Sample Container m cD o N LO o <br /> Sample ID DaEe Sam led Time Type Type co � m coI I m �0 J Comments/Preservative ° <br /> -42"Q 0 y 6,j1S vial <br /> 1+� - 3- Oil opllw &►L— A� <br /> 1V ii k,4 <br /> # H2 <br /> ( t <br /> t; I <br /> I <br /> --)- 3 k l 6�D 5o I L-- <br /> !3 IS --e,, ' <br /> L'o I L- amu, c w <br /> nquishe y (signature) ate!Time d by (signat ) ate I Time Total#of containers Notes <br /> Chain of Custody seals YIN( <br /> R nquished by (signature) Date 1 Time Received by (sig ature) Date I Time Seals intact?YINQ <br /> Received good condition/Qa <br /> Relinquished by (signature) Date 1 Time Received by (sFgnature) Date I Time <br /> Turn around time <br /> Sampte disposal Instructions Disposal @$2 00 each Return to client Pickup <br />