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9 <br /> SunStar Laboratories, Inc Chain of Custo Record �L(OFD <br /> 3002 Dow Ave , Ste 212 ylJ <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> t� <br /> Client a y 4 Date ���>'�y Page Of <br /> Address Ai'��� .�� Protect Name <br /> PhoneJ c��-' Z G Fax �� i(0 c9(11 Collector t-- Client Protect# tb'470,`f LbU_�_b2.�D <br /> Prosect Manager at �� �.� k��E' Batch# EDF# <br /> p C <br /> C <br /> X a� <br /> p o 0 U w c <br /> F- o <br /> p h a tj o 0 0 <br /> + m m 2 2 2 ti m k <br /> Sample Container 0 0 o0 N "' r Ln o m <br /> Sample ID Date Sampled Time Type Type co 00 m co 00 Co o o Lo Comments/Preservative F° <br /> f2 li spits J." <br /> $jc _ ri 11 I Z <br /> 12 11 X <br /> v_ r ti qt <br /> Relinqui ed by gna re) Date I Time R e ved by (sig ature) Date 1 Time Total#of containers Notes <br /> in of Custody seals Y/455—R <br /> Re inquis ed by (signature) Date 1 Time Received by (signature) 0ate 1 Time Seals intact?Y/NItpG4 <br /> Received good condition! of a <br /> Relinquished by (signature) Date/Time Received by (signature) Date 1 Time <br /> Turn around time ti <br /> Sample disposal instructions Disposal @$2 00 each Return to cheat Pickup <br />