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SunStar Laboratories, Inc. Chain of Custody Record <br /> 3002 Dow Ave., Ste. 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 � { G <br /> Client: �4//Pc� V�'d `h�'' < 71 C Date: Page: Of <br /> Address: 3/'f ,/�ea-on d. 1w,&7e, , Project Name: ✓/$rrFFF2 /2whJ f�PzR--r,' <br /> Phone: Fax: <br /> Collector: BAg-tlFCF/ Client Project#: 9E3/— 0O/ <br /> Project Manager: Batch #: g 0 0 1 —1 ( EDF#: <br /> V <br /> C o STD. TATE] <br /> 0 O Y C Q. d <br /> Q <br /> om c <br /> — o-Za — <br /> O w NN <br /> + m m u <br /> Sample Container 0 0 0 0 v> ,n v> o 0 <br /> Sample ID Date Sampled Time Type Type m m m ro m `0 Comments/Preservative <br /> I � I 5tXI I6 <br /> X 2 / <br /> G / <br /> hed by: a re) Datye/Time RQZed by: (signs e) Date/Tim Z Total If 01 containers Notes <br /> Chain of Custody seals Y/NINA `/ y-koMti4"a Y'�'- V�SNt�-t <br /> el'nqu' d by: re) Date/Time Receiv y: (signs re) Dateme Seals intact?YIN/NA $'t-�z <br /> rs <br /> 2 I g/Time <br /> Y <br /> QU / o Received good condition/cold y2° <br /> Relinquished by.(sig ature) Date/Time Received by: (signature) Date/Time <br /> Turn around time: ST.w x9b <br /> • Sample disposal Instructions Disposal 0$2.00 each Retum to client Pickup <br />