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SunStar Chain of Custody Record <br /> Laboratories, Inc. <br /> PROVIDING QUALITY ANALYTICAL SERVICES NATIONWIDE <br /> 25712 Commercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 r p <br /> Client: MtAC4: SArtJ LA Date: i I�� l Page: Of� <br /> Address: ty,�(, - G�'t�`S'""ar` 1�-•t. Project Name: Mom 41#1 H OU ge--- <br /> Phone:(20 Celt" (t 21 Fax: Collector: A00%, Ill x cJkwvS Client Project* PV 4lglo7 H <br /> Project Manager: 76-pia /►'1kAgkz" Batch S EDF#: <br /> C <br /> c <br /> pp O O NCU C <br /> V > -0 <br /> X <br /> 4 O <br /> o , <br /> X LD U 9 G7 - o <br /> X X LU X p ca <br /> t O F- 2, W Q o- o p <br /> 1 + m m <br /> Date Sample Container 0 0 0 o N p N �° cg <br /> Sample ID Sampled Time Type Type wwCoCoCow Co CoCo (0 � Comments/Preservative 12 <br /> SF, - 3 ! Z t2.o5 Sot•/ <br /> 1314 -1 L- q 4- f,. 1 01= <br /> St 't 3.� It• •tit l '.l e $0.1 :'a of 69 <br /> •t4 b :13-- So: <br /> Sr3 .co 4 tY:iY a r� <br /> 4O tt•44•t 14:w 'S aL <br /> 1 k:(4c $s:( S o% b <br /> Relinquished by: 'gnature) Date/Time Received by:(signature) Date/Time Total#of containers Notes <br /> //���� ain of Custody seals Y/N/NA <br /> kefiliquished b :(signature) Date/Time Received by:(signature) ate/Time Seals intact?Y/N/NA <br /> Received good condition/cold r <br /> Relinquished by:(signature) Date/Time 4eceiv y:(signature) Date/Time <br /> Turn around time: STb <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client _ Pickup <br /> COC 160008 <br />