Laserfiche WebLink
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 /> ' J q <br /> Clrent: U f�G �N� �j/CS Date: �' ! _ Pager_Of r1 <br /> a ' <br /> Address.:5-2P - 4)'4L <, Location: WFe- ` <br /> Phone: 1- [L-! Fax: Collector: S t-e r~ C cY� Client Project#:Z5;�QQ 7 _ <br /> Project Manager: Batch#: <br /> to <br /> Cd <br /> {meq � � <br /> U Q <br /> N w J fr U <br /> m is o o <br /> Of `17 M r o O 'o, C <br /> y O <br /> O O a 4 Lo Y7 47 O 4 b A +� <br /> r N CD f� N <br /> 0 o N N o 0 o v o o 0 <br /> ao 0o ao oa ao ao ao ti m (n t- <br /> Date Sample Container Q ¢ ¢ ¢ ¢ ¢a. ¢ ¢ Q ¢ .0 <br /> Sample ID Sampled' Time Type w w w w W W twit w uat w � I Q- I Comments o <br /> �w26si3 f t laG CI-13 <br /> i <br /> 4�-2q ,aa nt- Fob, li <br /> �- 26. C,4 3 <br /> fj S— t► iQQ AUILCOP-9-11 <br /> I <br /> Desna 1 <br /> s - IS c" I <br /> � Total#of containers I Notes <br /> r �/)7Ir /U'an Chain of Custody seals YIN/NA <br /> Relin hed by: gnature) Date I Time Re ived by: ( natu Date 1 Time Seals intact?YIN1NA i <br /> �q L Received good condition/cold <br /> Relinquished by: (signature) Date 1 Time #c�ei,,d by'(signature) Date 1 Time Turn around time: <br /> Sample disposal Instructions: Disposal @$2 00 each Return to client Pickup <br />