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- SunStar Chain of Custody Record <br /> Laboratories, Inc. <br /> PROVIDING QUALITY ANALYTICAL SERVICES NATIONWIDE <br /> 25712 Co.mmercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 <br /> Client: "(��4LA.CQs. ���`�� ` "C"�,S Date: ��-C�®� I Page: r Of <br /> Address: 670-Zl���'�✓�°-, - Project Name: M oAyn*V\66 ib" S-y-` L 5.- <br /> Phone: ( � 3i��7 �3 c� 1 FaxCollectorN0,1. Client Project#: NA/1.70`7� <br /> Project Manager: —G-!j K IK444Batch#: /P�13�6 EDF#: <br /> In <br /> T <br /> ° <br /> >- 6 �0 N C <br /> X ° ° :-5 1 4 <br /> UN U ~ U <br /> X 0 ° <br /> x X ° o <br /> + In m U <br /> 0 0 0 0 � � � � o 0 0 <br /> Date Sample Container , <br /> Sample ID Sampled Time Type Type I N N I N I N I CO CO I CO I CO coo CO -J Comments/Preservative i° <br /> 2°1211 Wr4sS I I I I I I 1 0r <br /> i-L o I Z.17�I LI 6te.SS 62 <br /> I ^ZU 12.11`lc% ti` Oz S p <br /> P3 - 17. til tol 1 ,3,0 t Abe& 4 /K <br /> 1"0 01 <br /> Ski-)- 11 17 1 V1 OV30 �'a ? C1 <br /> St 1 ' iH It ° lei 12'. "uoa c�s5 b7 <br /> 1'L <br /> ` '1^ 2c1 12.11°1'� I� v � ✓�� e�l�sS a9 <br /> 5C3 �•'S' 12'1 - •1er1 2`•SS a �c:3 �1��- � �O <br /> 13 \v iL°12 1'1 2eq8 <br /> S 3 Cdr. 2l3 12'.1?' 1 <br /> ?".WPA 0, <br /> 51 b Itz 12 v3`1`i `I'. aa Gtl� <br /> Relinquished by: g ture) Date/Time Receiv by: (sig ure) Date/Time 1 ��� Total#of containers Notes <br /> y 2• ILL, Vel 2•_� a � L` + r` Chain of Custody seals(Ql WNA f � �� )o <br /> Reli quished� signature) Date/Time Received by: (signatufe) ate/Time Seals intact?yyN/NA t <br /> sSo 2- o;3S caC �2-r� l9 <br /> -0-'K'5' Received good condition/cold `f 6G � �l <br /> Relinquished by: (signature) Date/Time Rec W ed by: (signature) Date/Time <br /> Turn around time: `iii o <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup COC 160011 <br />