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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: f-L( �-l�Il`�a �-��1��C� Date: 9-24-`9 B"L 7-98 Page: Of , <br /> Address: 5%' SiJ . 2. 4 1'6Uw1Ac C/�- Location: LJF-6 572cZA>'J <br /> Phone: co[R)CtL0-1&5V Fax: Collector: A&�SC2t.- CcVr Client Project#: l2307� <br /> Project Manager: uSSt�L_� ��� Batch#: oZ <br /> FJ � <br /> m <br /> ate+ <br /> m m a <br /> C v <br /> C m U Q <br /> J Of 0 <br /> a a <br /> ai ° rn o 0 0 O = <br /> > a <br /> 0 0 0 0 uU-) Ln Ln a a a Z <br /> N f0 e" r r N e- r O p <br /> Co W 0 W 000 Co Co rr+ W f0 � Q � <br /> Date Sample Container ¢ Q Q ¢ Q ¢ ¢ ¢ Q ¢ 0 M <br /> Sample ID Sampled Time Type Type w w w uai w w w w W w - a Comments <br /> W.a j[f� --2 w °jU' t WA-TVC VOO 1 Ci <br /> ryl <br /> L, L,7 t39 2 <br /> LU q - L-- <br /> Total#of containers Notes <br /> 2. / Chain of Custody seals Y/N/NA <br /> Relinquished by: (signature) Date 1 Time Received by: (signature) Date 1 Time Seals intact?YIN/NA <br /> Received good condition/cold <br /> Relinquished by: (signature) Date 1 Time Received by: (signature) Date 1 Time Turn around time: <br /> Sample di I Instructions: Disposal @$2.00 each Return to client Pi <br /> � ;AWMWMnoIMowaMM � � � �. �. <br />