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SunStar Laboratories, Inc. Chain of Custody Record -- <br /> 3002 Dow Ave., Ste. 212 �� }v <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client: Zlwev 6"'4eCk n t Ca-I ' Date: 3 13o 10 Page: l of L <br /> Address: O Ca� W � Smcranw.*o qgS '91 Project Name: (—a[0 r& Pro�er'�/ <br /> Phone:htG)571-U43q Fax.gle 371- 1a001 Collector: P• Ru'fto.v� Client Project#: �5�2�-C�i2.o <br /> Project l na ager: P,GJ'Gr —RIJ++o.\ Batch #: EDF #: <br /> 'J <br /> CO <br /> H <br /> X c n <br /> � ca co <br /> 2�1 <br /> c ~ CJ ) <br /> o �= <br /> C N C <br /> 0 �y C <br /> X <br /> } X o U F— o <br /> M _ o <br /> 0 w w m -0 w o 0 0 <br /> + m m 2 2 2 or �* <br /> Sample Container o 0 0 C1 n n n o o <br /> Sample ID Date Sampled Time Type Type CO m CO 00 CO CO CO CO CO co Comments/Preservative <br /> 3 129 f aG AM 5oIL PL-SLiW6-- X 011 / <br /> 3-3a` cZ r <br /> 3 - 35` X G.. / <br /> G3-yo' K O <br /> 4 - 1 f X °> / <br /> 2of <br /> 30 ' <br /> B - Zoe X vc <br /> S- 30 ' iG / <br /> - toll I / <br /> FIG -20 ' t / <br /> fat, - 30' l <br /> - to X i <br /> ? - 4 ' <br /> Relinquish d by: s Date/Time Re'�ived by: (sigm ure) Date/Time Total#of containers �� Notes <br /> ��' U �, �j of Custody seals Y/N/4- STD. TAT <br /> elfin wished b (signature) D to/Time Received bA( ' ature i Date/Time <br /> q y: ( g ) Seals intact. Y/N/ <br /> C <br /> j l L 7 i .'E,; l Received good condition/& <br /> r <br /> elinquished by: (signature) ate/Time Re ivied by: (signa ate!Time A <br /> Turn around time:5ThA1A k6 <br /> Sample disposal Instructions. Disposal @$2.00 each Return to client Pickup <br />