Laserfiche WebLink
SunStar Laboratories, Inc. Chain of Custody Record ' <br /> 3002 Dow Ave., Ste. 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client: Date: 1012016, 5 Page: Of <br /> Address: n <br /> 3l4Q `_ eacc -\ e(OCA" <br /> , Wi 04_ Project Name: CA 6ill Pf C :Kj <br /> Phonecq t(,)`3Z ( -O�� Fax:��I '1 1RO c{ Collector: P"R l`+'t'ftyk Client Project#: J gL�-C'q Z :O <br /> Project Manager: Ecir R Batch #: EDF#: <br /> ►-' ?� <br /> C U <br /> O C N O <br /> > N C <br /> O C O # @ <br /> O N U O <br /> X X X X o L:1w w <br /> O a w a q o 0 <br /> + m m 2i is xt <br /> Sample Container � (D CD N n LO LO o �° m <br /> Sample ID Date Sampled Time Type Type co co co co co cc cc co cc Comments/Preservative <br /> -AdS EL�t L o f l <br /> 32 i5 " v <br /> - <br /> (3i <br /> d X <br /> Relinqui Date/Time //�; Rece d by: (si atur ) Date/Time Total#of containers Notes <br /> ain of Custody seals Y/N tG <br /> 'quished y: (signa ure) Dae/T me Received by: (signat reef DI to;Time �= Seals intact?Y/ <br /> ­C�. 01Z1 c ; rG Received good condition/cold " C <br /> Relinquished by: (signature) Date/Time Receiv by: (signature) D to/Time <br /> Turn around tirne:! l_M 4-D <br /> Sample disposal Instructions. Disposal @$2.00 each Return to client Pickup <br />