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�I SunStar Chain of Custody Record <br /> Laboratories, Inc. <br /> PRO\I DING QUALITY ANALYTK AI SERVICP.S NAI ION"IDE <br /> 25712 Commercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 <br /> Client: w' / -kJ`����- Date: Page: ` Of <br /> Address:—ANO S' 13"_moi ,c, �'�- Project Name: �QW4 <br /> Phone: Fax: -1--e Collector: Client Project#: <br /> Project Manager Batch#: rI�z, IZ, EDF#: <br /> N <br /> Ln <br /> T U <br /> r c U n In <br /> YI o o c� @ U a <br /> N Y <br /> X � v <br /> �J O o N U U) o <br /> X X X @ o U <br /> O � a - w o <br /> + m m g 2 U m U <br /> Date Sample Container C) CD C) o� N r' o Cl 6 <br /> cli -0 <br /> Sample ID Sampled Time Type Type co 00 w co co c CD 00 (D (0 � Comments/Preservative <br /> _I c <br /> Relincibished nature) to/Ti e Resi e) Date/TimV_ ' Total#of containers Notes <br /> P?40"', Chain of Custody seal Y /NA <br /> Relinqu h d by: (signature) Date Time eceiv d by: re Date/Time Seals intacNA <br /> Received good condition/cold 5 <br /> Relinquished by: (signature) Date/Time Received by: (signature) Date/Time me: �`'� <br /> t L �r <br /> Turn around ti <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client Pickup <br /> COC i F; U31 .1. <br />