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SunStar Chain of Custody Record <br /> Laboratories, Inc. <br /> I'krn'IUING QUAMY ANAMICAL Sl'-k4 is i5 SimioNWIUE <br /> 25712 Commercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 ,/�,,,. J r <br /> Client: 'f! f / vCl�k _ Date: o 4&?"C)� Page: r Of <br /> Address: ,��9© dqr--I4-"fr�i.�',Gy C Project Name: ,.ref <br /> Phone: U ' -7L Fax: Collector:--M. ( r-, '� �Client Project M <br /> Project Manager:—36 I Batch M rr:S,z1 ko EDF#: <br /> c � <br /> 'ra m <br /> C r- <br /> ° y N <br /> C N N U <br /> 1J X W N C <br /> O c m # m <br /> o N U u) o cp <br /> X X X N X 4 U <br /> O H H rn u] o a 0 <br /> U U <br /> Date Sample Container � n � ^ m N 0 _M <br /> Sample ID Sampled Time Type Type CO CO CO CO 00 CO 00 CO W W J Comments/Preservative ° <br /> " " or <br /> Relin ished nature)7glE= C e I Ti `e Aeceiv <br /> i e) Date I Tim +� Total#of containers Notes <br /> Of T oq &I C I 0 (Chain of Custody seat Y IIIA <br /> Relinqu h by: (signature) Date Time by: re Date 1 Time Seals intact? <br /> 'J'" 11% V 11,("g to Do Received good condition/cold 5 <br /> Relinquished by: (signature) Date/Time Received by: (signature) Date 1 Time <br /> Turnaround time: <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br /> COC 160311 <br />