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SunStar Laboratories, Inc. Chain of Custody Record �r U <br /> 3002 Dow Ave., Ste. 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client: �a�r�er( C�fo+cc�lh%C�-I t rNC. Date: 3 I �O Page: Z Of <br /> Address: 31io 8eacotn S k. , �/�JeS'F S f41Nti� r� <br /> CA qSG 9 ! Project Name: a� ( Pro petjt j <br /> Phone: G) 39(-OL{ 34 Fax: I(,)37 I " 1 X69 Collector: (Z'J+�0.� -t Client Project#: 8'092. O 1 <br /> Project Manager: 'Reef• 'Ry't+O w Batch #: EDF#: <br /> w <br /> m <br /> x <br /> O tj1 C C <br /> O N N <br /> X C @ # 4 <br /> O o Q) C) O <br /> X X X @ ° X o <br /> 0 m o w o0 0 0 <br /> + m m o <br /> Sample Container o 0 0 cD n u� n o 8 <br /> c0 cc c0 I— N -0 <br /> Sample ID Date Sampled Time Type Type Co Co Co Co cc Co Co w C Comments/Preservative <br /> 7- 3d M 5611- V 1. S1 X <br /> R <br /> ein e ature) Date/Time R dived by: (sign ure) Date/Time Total#of containers / Notes <br /> 1 ; hain of Custody seals Y/N/r® STD. TAT <br /> inquisshed by: (signature) Date/Time Received by (signatur Date/Time Seals intact?Y/N/6 <br /> y'o" ! / L-- I OZ) E ^�. a �j) CC ` Received good condition/ of 5(- <br /> Relinquished by: (signature) Date/Time Receive y: (sig re) Date/Time <br /> Turn around time: <br /> Sample disposal Instructions Disposal @$2.00 each Return to client Pickup <br />