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SunStar Laboratories, Inc. Chain of Custody Record C <br /> 3002 Dow Ave., Ste. 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client: �Q.nTy Oto YJ I Cw�, TSG Date: �a f°4 Page: Of ?- <br /> Address: 314 d gtac— 61., W•S to Ln tKJ6 , C A 5 5'&q Project Name: Pre perf l <br /> Phone:(�?'�,-)I -0434 Fax:&q ) $�l - 1 goq Collector: F-Sc rriZc6% Client Project#: I rZk-o9 Z•c t <br /> Project Manager: �. 4��t-Ft��-. Batch #: EDF#: <br /> C U, <br /> C: <br /> U Cie <br /> O O <br /> Xa3 -0N V c <br /> Q1 J �o <br /> o � U p c <br /> 0 w w W T) K S � � o <br /> O m w o t o <br /> + m m g :Eo� m # <br /> Sample Container - -:::) o N 2 Ln o ` V �° <br /> Sample ID Date Sampled Time Type Type C 04 CD C) C) CD q O J J Comments/Preservative <br /> 52 - r 3290 d � LoZSR X I X X p <br /> SZ - Sur F x k k oz <br /> 52G - sor- �- X k X 031 <br /> Z -5,1r X Y X D / <br /> Z8' -5-J r F X. k X �S <br /> 59 - 1 ' x X X cb <br /> 5 2- - 5 u-r F X o <br /> S 50 - Sur U� <br /> 3r - Sur k x <br /> AS \7 - ' X r + <br /> _0 I I I IFFF - <br /> I-1-1- <br /> Reli ature) Date/Time eived b�: (si ture) Date/Time Total#of containers Notes <br /> ' � - Oki .7' ain of Custody seals Y/N/6 W+1N <br /> Re inquished y: (signature) Date/Time Reed by: ignaturq) .Date/Time �5 5 <br /> c , Seals intact?Y/N/� <br /> c/! / �) 7 �f VC 4 - / �i(: ! �Z Received good condition/ of �I Wx t <br /> Relinquished by: (signature) nate/Time Received bV(sign e) V Date/Time � � � ��� �aS� <br /> Turn around time: � ��QD <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br />