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SunSta }oratories, Inc Chain of C dY Record <br /> , <br /> 326 Encinitas Blvd, Ste 150 <br /> Encinitas, CA 92024 <br /> 1-800-900-9333 <br /> -70Z'- �" ---�r-�--" '[�' <br /> Client ° +(' Date � 30- Page L Of <br /> Address P/ ol, A, A t;;'. '103 �� �� �� Project Name <br /> Phone 'f - Fax Collector PAr <! jt°" Client Protect# -5'q6.000t <br /> Project Manager VwBatch#-AqCA6 144 Proposal # <br /> At <br /> N <br /> N <br /> C U N ` <br /> m � <br /> d7 <br /> n i• <br /> 0 0 0 0 +n o o <br /> N CD I-. a0 b N <br /> 0 <br /> i6 <br /> Sample Container ¢� < a a -0m <br /> Sample ID Date Sampled Time Type Type w w w w w w w w w a` Comments ° <br /> VAr~ V <br /> :iP <br /> I5 t� f +� t f T <br /> JVTTwwt 1q: <br /> w <br /> - 3 <br /> s w— I <br /> F9 <br /> w <br /> �t <br /> 3 <br /> Relinquished by (signature) Dale l Time Received by (signature) Date!Time Total#f of containers Notes <br /> Chain of Custody seals YlNINA <br /> Relinquished by (signature) Date 1 Time Received. y�(signature) Date!Time Seals intact?Y!NlNA 1� <br /> Received good condition/cold <br /> Relinquished by (signature) Date l Time "ceived signature) J ra-W/Time <br /> Turn around time <br /> Sample disposal Instructions Disposal @$2 00 each Return to client Pickup <br />