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SunStar Chain of Custody Record <br /> Laboratories, Inc. <br /> PROVIDING,Qr AI nv AN\I I ICA I.SERVu hs NAJ IONWIDI'. <br /> 25712 Commercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 f / <br /> Client: G^✓`r h' k►eta le Date: A ZO/ Page: ! Of <br /> Address: /090 �i /r_ pal�J e- Project Name: <br /> Phone: '�} ' `f Fax: y �L'r �"� Collector: le-IN Client Project#: <br /> Project Manager: Batch #: Y i$1 t rAO EDF#: <br /> N <br /> CU <br /> Ln '17-11a <br /> o C N 0 <br /> 0 N cz <br /> X @ a> <br /> 0 0 0 0 0 <br /> !/ O c <br /> X X X a� X o i <br /> 0 Ld �Uj m �_ w CD d o 0 <br /> Date Sample Container o 0 0 0 Ln o o �o <br /> N N N N 0 0 0 0 0 0 o Comments/Preservative <br /> Sample ID Sampled Time Type I Type Co Co I Cc I Co Co Co w oD cD co J <br /> t U o i_ c/ �-- <br /> 2am� <br /> ) C f Da Receiv (signature) Da/tea/Time Total#of containers Notes <br /> / Chain of Custody seals ON/NA <br /> Relinquished by: (signature) ate Time eceive y: (sign ure Date/Time Seals intact?&N/NA <br /> &5o L-f $ 001i,11. e. k-7't9' C� Received good condition/cold 31C <br /> Relinquished by: (signature) Date/Time Received by: (signature) Date/Time 5 <br /> Turn around time: <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br /> COC 62738 <br />