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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: h2 ,ey �e�"�cc.tn 11 I t , Date: Z O 16 5 Page: Of <br /> Address:314Q 6eexonn 13(vA,' W, S0.cfcatMt'►��c� �/� Project Name: Cf} !}L P& P 11/ <br /> Phone(—q )?�7 C -U4z>Yf Fax: q,l b )'37 ( - ( '20 Collector: ?;RQ' +8'_yA Client Project#: (gLQf"-OC(Z '0 � <br /> Project Manager: PE-Rf__R RQ T(�ti Batch #: EDF#: <br /> C N <br /> F <br /> 764 <br /> C: CJ C^ n <br /> o c <br /> } N C <br /> XO <br /> O U CO <br /> XX X c T o <br /> W W x Z <br /> O m O w o U 0 o <br /> + m m 2E <br /> Sample Container CD CD CD oD T LO <br /> Sample ID Date Sampled Time Type Type 00 co 00 co m co w cc � J Comments/Preservative <br /> 2 e to, e NE OI / <br /> 132 i S ' >C 0 ! <br /> . Z X <br /> 1I XO / <br /> dX, 1 . <br /> Relinqui Date/Time Rece d by: (si atur ) Date/Time Total#of containers Notes <br /> � 4J' ain of Custody seals Y/N 1� <br /> quashed y: (signa ure) Dae/T me Received by: (signature D to/Time Seals intact?Y/NC3 <br /> ��_ (� Z1 �G Received good condition/cold <br /> Relinquished by: (signature) Date/Time Receiv by: (signature) D to/Time ��� pp�� <br /> Turn around time:5-1/f1lmil'D <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br /> 4 <br />