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SunStar Laboratories, Inc. Chain of Custody Record <br /> 3002 Dow Ave, Ste. 406 <br /> Tustin, CA 92780 <br /> Phone (714) 505-4010 Fax(714) 505-4028 <br /> Client: f6-)1t-J'AJG AL*t't GC Date: �2�' `J Pager Of <br /> Address: Location: <br /> Phone: G_ Fax: Collector: k"'OSS aL co r _Client Project M l960 7C <br /> Project Manager: -u Batch#: <br /> L h <br /> N <br /> N <br /> lU <br /> Q. zG <br /> UQ <br /> I Fy y J <br /> It U <br /> A <br /> 00 4 O y <br /> N fD N r r o (6 p <br /> CO CCD ccoo Co oho m ago ti W 0 <br /> Date Sample Container Q Q Q Q Q Q Q Q Q Q ° <br /> Sample ID Sampled Time Type <br /> Type w w w w w w w w w Comments ° <br /> '- Z-0 v o Z r tc) R1 t <br /> Io5V 0 <br /> • --l.0} 1 <br /> x I <br /> b <br /> 01; <br /> — <br /> Total#of containers Notes <br /> J Reb Chain of Custody seals Y/NINA 1J <br /> Relinquished by: (signature) Date I Time Received by:(signature) Date 1 Time Seals intact?YININA ; <br /> Received good conditionkold <br /> Relinquished by: (signature) Date 1 Time Received by: (signature) Date/Time Turn around time: <br /> Sample disposal Instructions: Disposal @$2.00 each'. _ Return to client Pickup <br />