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M M i A A A mm i MIM i A i i ri A <br /> SunStar oratories, Inc Chain of Culdy Record <br /> 326 Encinitas Blvd, Ste 150 <br /> Encinitas, CA 92024 <br /> 1-800-900-9333 <br /> Client ,� -sf_k _'/� Date A) 1; , -?)r Page of <br /> Address ,'fd J!_F '' y �r," TS�;r,� :�x°A '143 �a Project Name �, ,� 3 .~r. <br /> Phone _.fir, 1 )- I—Fax =��,� 2 Collector-,,- 'A ;' Client Project# ��1 5���4:V1 1 <br /> Protect Manager _ � � , , , ,,A, t,-^/ _ Batch#� ��� � �Proposal# -w- <br /> x r <br /> A <br /> {tl � <br /> .... N <br /> N <br /> c U m m <br /> CO C <br /> 01 (0 <br /> d 09L) _ <br /> O N O O 1!] 0 O 9 O O <br /> Y Co 000 ONO ONO tt OOo 00o 0 (OD <br /> Sample Container ¢ Q ¢ Q ¢ ¢ ¢ Q a a <br /> Sample ID Date Sampled Time Type Type w w w i�u u�i w w CU ti Comments h0 <br /> A 46 <br /> V is)�` r r <br /> aL -;U=" U7 t1 S S 3°)r) <br /> V 4..4j3 <br /> 1 9 3 f J4 1 24; f <br /> r <br /> Relinquished by (signature) Date 1 Time Received by (signature) Date 1 Time Total#of containers Notes <br /> I <br /> l ' .J-J c�P')1r L r.'"-/i' Chain of Custody seals YININA I} <br /> Relinquished'by (signature) Date 1 Time Recet d y` signatujre) / Date I Time Seals intact YIN/NA <br /> "7 T f tf Le Received good condition/coid „ <br /> Rel4nquishe y (signatu a ate 1 Time RreWed b Osignaturo Date 1 Time <br /> Turn around time <br /> Sample disposal Instructions Disposal @$2 00 each Return to client Pickup <br />