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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 /> Client:,,fE �'i G ( C/f'>7 ( Z ri 1 r F� I-"i� �� Date: Page: Of <br /> Address: ��(; i'i l� �� I ,�;�t•f/QiMf4t l^I� Project Nam : ! , �jf lC 8f0t',1F+l 7LfZ <br /> Phone:'"<< �7�>71 _�'t L/3 FaxCollector: r1 Client Project#: <br /> Project Manager: ``-�{r t Batch #: EDF #: <br /> C L <br /> U <br /> } Q N C <br /> X X XLU LU <br /> @ X o o <br /> O I I— m a w o ti o 0 <br /> Sample Container o 00 0 <br /> co Q0 (D t— <br /> Sample ID Date Sampled Time Type Type Cc Cc a Cc 00 Co Co � CD I J Comments/Preservative <br /> A <br /> QF - 2 � , <br /> ©T C 1 'At k <br /> `{ <br /> Y <br /> J - L Ax <br /> k R ti <br /> t ,4, <br /> 1r ` -•- <br /> Relinquished by:.(signature) Date/Time Received by: (Signpture) Date/Time Total#of containers Notes <br /> Chain of Custodyseals Y/N/NA 1 <br /> Relinquished b (signature) Date/Time Received b PU 5'� <br /> q Y ( 9 ) y. (signature) Date/Time Seals intact?Y/N/NA <br /> Received good condition/cold ( <br /> Relinquished by: (signature) Date/Time Received by: (signature) Date/Time <br /> Turn around time: ��"" >4t u,� <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br />