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SunStar Laboratones, Inc Chain of Custody Record -T 5 o c) v <br /> 3002 Dora Ave , Ste 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client Date d d Page Of <br /> Address d q- 4 CA Project Name f t� <br /> Phone Q -$1Fax 1^ 76--532- Collector 3S Client Project# 5�.(2�"7� CCD1 <br /> Project Manager ; Batch # EDF# <br /> ro <br /> C U <br /> o c N <br /> ° N c <br /> a) ax ±a <br /> N m U 9 91 O o <br /> XX m <br /> mo' 4Dp o <br /> Sample Container 0 C) NCO` ' n <br /> Sample ID Dale Sampled Time Type Type m m CO CO � m CO 00o <br /> Comments/Preservative <br /> O Sc R # 4 3 <br /> t 1j,7 r OZ 163 j <br /> 'fold - <br /> -0sa Jq Ix a p i <br /> r,Od w <br /> im% �° ` '? y 0 1 <br /> i P Q <br /> Relinquished by (signature) Date!Time l Received y (signature) Date 1 Time Total#of containers Notes (� _ <br /> fir,►i �� � d�/�✓� Chain of Custody seals YININA OA `` o-t <br /> Relinquished by (signature) Da /Time Recet ed by (signat re D I Time -wTev iTV <br /> ,O 2 )) g , Seals intact?YININA 1 p �� t 1•` I f <br /> ® o ,Or Received o ,n tionlcotd OA -r �T t 1-1;a <br /> ,14- <br /> �� r 'Z 6 <br /> elmqulshed 6y (signature) ate 1 Time Received by (signature) Date!Time ,� <br /> Turn around time rrv{• , <br /> Sample disposal Instructions Disposal @$2 00 each _ _ Return to client Pickup <br /> � i i <br />