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SunStar Laboratories, Inc. Chain of Custody Record <br /> 25712 Commercentre Dr <br /> Lake Forest, CA 92630 <br /> 949-297-5020 1 <br /> Client: . �.�.� � S v%y Z C-o J%�ex/` Date: �J_{J Page: ' of 2— <br /> Address: <br /> Address: 526 We ¢moi w Lo a,Wc,4 Project Name:2215-W Cs f � �7a-a t <br /> —c�Es _ CA <br /> Phone: 310- 8,5-!Y-(030 Fax: 5 f s ^Cai Cf Collector. . Qac H.c-A a s .Client Project#: i 2 O A•-)�-!f <br /> Project Manager. wn -Mavr'k-ASt w Batch#: T/3/P3? EDF#: <br /> C i <br /> 6 <br /> T L d <br /> o � <br /> } N c <br /> X c A m 3k <br /> X O <br /> o LU Lu p <br /> + m m <br /> Sample Container a <br /> Date Sample Time Type TSam le ID Comments/Preservative <br /> 62-S--2- -Z - 8` so t. X 101 <br /> S— o z'9C4 I oz <br /> 13 —7 9--2Sa Jo3 H a[etY <br /> 9zS'-i7__ ftzao' I aq lie 1A <br /> t q q-.04o, <br /> p 'C os' t <br /> E - 7 wso. I X X I X o6 h <br /> q:Y 07 <br /> _ 7 : 51 oP ! <br /> 2 -Z- 1 S3S ro4 d <br /> _ m ff <br /> fA �2 t ! <br /> � 1�3 x �3 <br /> 2� —Z iv <br /> ra� rs <br /> gp,�nquish by (signature) Date/Time Ree ve b . ignat Date/Time ' 1 Total#of containers 1 Notes <br /> Chain of Custody sea /NA <br /> Relinquished by:(signature) Date/Time Received by:(signs Date/Time Seals intac . Y INA , •± • 'SAT ❑ <br /> //W Received good condition/cold !'•2 <br /> Relinquished by:(signature) Date/Time Rec ' d by: (si nature) Date/Time R 2y�3 <br /> Turn around time: <br /> Sample disposal Instructions: Disposal @$2.00 each Return to client _ Pickup <br /> COC 131478 <br />