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SunStar Laboratories, Inc. Chain of Custody Record <br /> 3002 Dow Ave., Ste. 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> L,� i <br /> Client:9#AV14 t -4t-o/h,iwA. rAt Date: t �� 5 Page: Of <br /> Address: Proeup &I to<S'aA(rAtrt#, Project Name: AES e)cP(eG j)t W <br /> Phone: 1L, i 37 04 Fax: Collector: k ji-tC h Client Project#: <br /> Project Manager: Batch #: EDF #: <br /> (6 fD v <br /> C <br /> 0 N L <br /> X c -e c <br /> co <br /> X O X coo 2 U o o <br /> O � �' w o 0 0 <br /> + m m M i � co � <br /> Sample Container C) 0 0 o^ N L � o `o m <br /> Sample ID Date Sampled Time Type Type � � 00 w � co 00 0 l p � Comments/Preservative <br /> 0ill,-- R. €=-I is {4 ( ii:. <br /> 0 i-1 A' ^F= 'Z_ r_! e �'o/�f A tit PIC <br /> /1 <br /> n -- --A 5'-_y C'c H io saw r ar F <br /> F <br /> W P 5 A,+Lt A( C'i t j Z <br /> ZDV.—t A <br /> trot,- Zia i C6 'l % SA- 01t_ /Z z <br /> RelmquisY;, g��tGre 1 Date/Time Received by:, Ignat�are) Date/Time Total#of containers Z I Notes <br /> Y n: t.i '� Chain of Custody seals Y/N/NAS&<4- <br /> Relinquished by: (signature) Date/Time Deceived 5y: (sdrfi ure) ' bate/Time Seals intact?Y/N/NA <br /> Received good condition/coldr <br /> Relinquished by: (signature) Date/Time Received by: (signature) Date/Time <br /> Turn around time:. <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br />