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SunStar Laboratories, Inc Chain of Custody Record i O c <br /> 3002 Dow Ave , Ste 212 <br /> Tustin, CA 92780 <br /> 1-800-781-8777 <br /> Client 1" E-( � �'u�al ie /- !k� Date. ��� _ Page Of <br /> Address (� t f� e G? r" pn1 k c 42-6 Project Name {ii JF- _ <br /> Phone �, `�`h 4 ! d Fax U 55 - 31 475 Collector Client Protect# <br /> Protect Manager Batch # Proposal # <br /> SQ <br /> �n N <br /> N l <br /> N <br /> C: U (` <br /> Cn � �u <br /> En <br /> CD o <br /> O O0 Q <br /> C3 - c.) <br /> civ m w ' o o @ p <br /> O O N N O O O d b <br /> CO �O co co V OD a0 eo e0 ^t L N <br /> Sample Container ¢ ¢ a ¢ ¢ ¢ a a a �6 ~ .0 m 1° <br /> Sample ID Date Sampled Time Type Type a n" a- a- °- a w a_ a 1° Comments i°— <br /> p P yP yP LU w w w w w w w w r a- <br /> y <br /> '41L All, e'lr <br /> Y, bi <br /> Q Q G( �Sr <br /> — O r <br /> law L 1 09 <br /> G l! <br /> Ell' <br /> Da/ If Aug, ' ' (5 er (e Fty <br /> fsl ( < <cFFT7 <br /> � A'ITotKal <br /> 11 <br /> Relinqui ed by (signature) Date 1 Time ed by (signator Date I Tame #of containers Notes lc j5 ... <br /> �.J-L � 1 3 `/ �(J+ Chain of Custody seals Y INA f„�4 i.,L f51 K <br /> Reline# fished by (signature) Date Tim by (si ture) t Date I Time Seals intact?Y A r <br /> Received good conditi /cold <br /> Relinquished by (signature) Date 1 Time Received by (signature) Date I Time <br /> Turnaround time k�/ A, <br /> Sample disposal Instructions Disposal @$2 00 each __ Return to client __ Pickup _ <br />