Laserfiche WebLink
Sunstar Laboratories, Inc. Chain of Custody Record <br /> 25712 Commercentre Dr <br /> Lake Forest, CA 92630 <br /> 949-2997-5020 <br /> Client, Af� yig P @Pri"/�% �G]Qih(.@ r . - Date:�,p1't t �'�0`H Page: '5, Of Z <br /> Address: Project Name:ZL(0Z S- (E2 G VW 5+01*taIA� �S� <br /> Phone: ff ii� Fax: Collector: �' . k-T w Client Project <br /> Project Manager: G7YrG�`76''Q AVViS - Batch#: �ss'� �" EDF#: <br /> F <br /> C N <br /> l0 <br /> L <br /> Y <br /> V JrC N <br /> } O y U O <br /> O <br /> N <br /> O F F m O <br /> W O O <br /> �+ m m 2 :5 N <br /> Sample Container k <br /> .$ }g <br /> Sample ID Date Sample Time Type Type m m m m m m m �m ctO = Comments/Preservative F <br /> -[0 �j 2014 10l0m. m1) 16 <br /> 9,91-57 1 4*, L4- <br /> a IR <br /> -/t3 $-Low IX <br /> ct- 5 010 Lh <br /> [ g(s <br /> f'-I�✓ So <br /> & _sV Z <br /> SM -- /a <br /> 911- 51 <br /> Z(ll M L} <br /> • it- f0t=26 a Z1 <br /> Z• v Z <br /> Z-t6Z e U0 <br /> ishedime R cai ed b . nature) Date/Time (� xTotat#of containers9fotes <br /> Ch naT of Custody seals /NATRelmqui ed ime eceived b e) Dat /Time Seals intact. /N <br /> i�� E- <br /> .11rurn <br /> 3'Y ZS /moi $'SU - 4 S P:Sd Received good condition/Cold b-4- <br /> Relinquished by: (sig atu ) Date/Time eceiv y:(signature) ate/TimeN -�around time: J -r� -- ( <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client , Pickup - <br /> COC135502 <br />