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SunStar Laboratories, Inc. Chain of Custody Record <br /> 25712 Commercentre Dr <br /> Lake Forest, CA 92630 <br /> 949-297-50120 <br /> Client:�ljy-i Isar 6raPrl'J{'IGJ lk $G7Pm� Date: Aoy-l1 2H X2014 Page: 17- Of Z' <br /> Address: Project Name e:2LI0Z S-'� 04114�✓nf-c% die-&-; t �i7GktQVt SZ�� <br /> Phone: fiiFax: Collector:-V,. k`tW+ Client Project#: J` <br /> Project Manager: S(An,Gf+M7D^a AVKiS - Batch#:- Tt' �- EDF#: <br /> R <br /> N <br /> m m <br /> L <br /> C U fi v7 <br /> -t/t C <br /> V X � N C <br /> O <br /> o O m U F- c <br /> } . N O <br /> 0 w LuH Lu m a W o 4 O O <br /> .� + m m Gr r l N it <br /> Sample Container n N N N V o m <br /> Sample ID Date Sample Time Type Type m m m m m S Comments/Preservative FO- <br /> -[0 4 2oY4 IO'S5sw m11 'Sw� 14, <br /> R'10 <br /> - <br /> 59- f6 ZA Zt Lt^ l0 26 <br /> fished i nature) /� Date/Time R cel ed b . ' nature) Date/Time GA Total#of containers �� [dotes <br /> K Jy /0 — Z Ch n of Custody seals�UNA D. r/f, <br /> Relinquished by:(signature) ate?Time eceived b ) Dat /Time Seals intact'. A INA /1 <br /> ZS /moi <br /> 9"'150 4 S .v R <br /> 9 L. eceived good condition/cold <br /> L 5 Z- /1� <br /> Relinquished by: (sig atu ) Date/Time eceiv y: (signature) /Date/Time <br /> - Turn around time: ----- <br /> Sample disposal Instructions: Disposal @$2.00 each Return to cllent _ Pickup <br /> COC135502 <br />