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SunStar <br /> Laboratories, Inc. Chain of Custody Record <br /> PROVIDING Quokul v ANALYTICAL SLPWICH5 NATIONWIDE <br /> 25712 Commercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 r / <br /> Client: C'k Date: db �/ d Page: Of <br /> Address: to vn f Project Name: i?G� G <br /> Phone: Fax: 74 ie-7?-6'4 Collector:,e +Ie� Client Project#: <br /> Project Manager: Batch#: —r 1$1 ORO EDF#: <br /> C N <br /> fU (6 <br /> , t d <br /> O C N M (U <br /> >- � N C <br /> X C_ 47 Xt <br /> O a m U � U) p o <br /> O } m a� v <br /> QuJ LU U � to o a o <br /> W W `v <br /> + m m g g C U m ;t <br /> Date Sample Container m a N ie "' '� o N 0 m <br /> Sample ID Sampled Time Type Type m m m m Co Co m 00 to co `�� Comments/Preservative <br /> OoL O L <br /> Relin ished b ture) Da 1 Ti R��LAV <br /> ) 1 Timer Total#ofcontainers Notes <br /> Y b 6 1P 1�S O `V r� Chain of Custody sealsONINA <br /> elinquished by: (signature) ate Time Receiveq1w(sign ure Date 1 Time Seals intact?&NINA <br /> CrSU L[^tel$ dl1L c �t-� <br /> -If( Ckj Received good condition/cold 3.0 <br /> Relinquished by:(signature) Date 1 Time Received by:(signature) Date 1 Time <br /> Turn around time: 34. r <br /> Sampte disposal Instructions: Disposal @$2.00 each Return to client _ Pickup <br /> coc 162738 <br />