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SunStar Laboratories, Inc. Chain of Custody Record <br /> I <br /> 3002 Dow Ave., Ste. 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> / III <br /> I � Z <br /> Client: Raney �jidTeaIIIri C ,G✓iG Date: 3(3111O(, Page: Z Of <br /> Address: 3140 &a-coy, S1, W .Se,-cc SZq ( Project Name: C'a(ora( Pre G er t`/ <br /> Phone:(J1b)s�1- ,DL(3q Fax:(4111) 3.7 (V09 Collector: Q. barntcClient Project#: )fqS-o42.a{ <br /> Project Manager: �3t-F-aV\' T Batch #: EDF#: <br /> f <br /> CU <br /> �t <br /> c v J <br /> o c N O/ a22 <br /> 0 <br /> XX <br /> o U V <br /> X X Xa� o o <br /> O W Wm Lu 1111 O o 0 <br /> + m m r` <br /> Sample Container o 0 0 0 n o o <br /> Sample ID Date Sampled Time Type Type Co 00 m 00 � 00 CD CD CD Q @ <br /> Comments/Preservative <br /> -532-Sor V% 166 P '501 1- 4OZSAt2 X X X Z / <br /> 5 - surd X X x �' <br /> 53 - Suri X X X / <br /> 5 3- ►� X x 5- <br /> X- <br /> X x b / <br /> 5: (G-sorF X X 3 / <br /> S 3 7- sac-f- X 1 $ <br /> �s-,Sorb X X I <br /> S S1 - R !( Zo <br /> 590- sur X k 2 • <br /> TA <br /> S 1 - Suri X k k z <br /> stS�-t1 23 <br /> Relinqu ed ) Date/Time Rived by: (sig ture) Date/Time Total#of containers ( Notes <br /> 4 ' <br /> / � ' ain of Custody seals Y/N/ L> ar�tA y <br /> I qui ed by: (signature) Date/Time RecejYed b4!z�� <br /> Date/Time Seals intact?Y/N l <br /> O ` 3 � ) _ IV� r� <br /> V �/ C'� �I "�' 7 7 d E 7 Received good condition/ of �L � I r R <br /> Relinquished by: (signature) ate/Time Received b . (signal re) Date/Time <br /> Turn around time: <br /> Sample disposal Instructions: Disposal @ S2.00 each Return to client — Pickup _ <br />