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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: Raikeq6cAnt' ) TlAc. Date: 3(3 t I d (' Page: Of <br /> Address:({ Lo- (, (At Sir(-d-RK" ('p 4S7oR 1 Project Name: 6'r+ / <br /> Phone:hl(rl31( -w' .q FaCollector: F. aoLrnZc.1.. Client Project#: <br /> Project Manager: Batch #: EDF#: <br /> cu is <br /> L zv <br /> C: <br /> O C N O <br /> O <br /> Oc O O # O <br /> o U o <br /> X X XW X o <br /> O Q w oo 0 0 <br /> Sample Container ; o N o `) �o <br /> Sample ID Date Sampled Time Type Type � N N CN CD C) 0 w Q <br /> Comments/Preservative <br /> 5 3S- 3ur F5t a srnL '{oz TAA" X ,C �C 3 <br /> 43 • Sor <br /> Relin e ) ate/Time ceived by: i n ure) D e/Time Total#of containers Notes <br /> 4 <br /> IYt <br /> -'71/ Chain of Custody seals Y/N/NA / I t"SP�vI\C Ic-rPUL <br /> linNulshecrBy: (signature) to/Time R ceived by: (s ture) Date/Time Seals intact?Y/N/NA <br /> ` 1 (,��D <br /> Received good condition/cold <br /> Relinquished by: (signature) Date/Time Recei by: (signature) Date/Time <br /> `� <br /> Q. <br /> Q(d Ciy 3 Turn around time: 1'e <br /> a S <br /> Sample disposal InstructionsDisposal @$2.00 each Return to client Pickup <br />