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SunStar oratories, Inc Chain of Cu ody Record <br /> 3002 Dow Ave , Ste 212 <br /> Tustin, CA 92780 <br /> 714-505-4010 <br /> Client AR- At s 2c 'in L Date Page l Of ` <br /> Address Uvit A& GA Protect Name F�f-W+PX e v <br /> Phone d - 579 - 21-2- 1 Fax Z Collector—Al-e-X fi (I? res Client Protect# 5111+("Z596,0001 <br /> Protect Manager_ILA Batch # EDF # <br /> m m <br /> 2L, <br /> m <br /> U N <br /> o c <br /> O N <br /> Xa) -2 N C <br /> O ' Ilk �* m <br /> o N U c <br /> X W W m a7 x o \ o <br /> O <br /> + m m Lu <br /> o I C o <br /> Sample Container CD 0C� o <br /> Sample ID Date SampledTime Type Type Cam mentsll'reservative <br /> 3 aZ <br /> 0 ,� , <br /> -L' 20 t <br /> Relinquished by (signature) Date/Time Received by (signature) Date 1 Ti <br /> Total#of containers Notes <br /> P //�2vs �o do L1 u d e ' WE& <br /> Chain of Custody seals Y/NINA %v� <br /> Relinquished by (signature) D !Time Received by (signature) Dae 1 Time Seals intact YININA X11 OK� �GlS <br /> r< r I a 13 taTgG <br /> Z3 0} Received q2a itionlcold keg C i!! � <br /> Relinquished by (signature) Date 1 Time Received by (signature) ate f Time J T 6A- t b t �� / 1►2— b 6A- <br /> Turn around fimL.�4C.lYI Q�Q � E <br /> Sample disposal instructions Disposal @$2 00 each Return to client Pickup <br />