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r <br /> SunStar Laboratories, Inc Chain of Custody Record <br /> 3002 Dow Ave , Ste 212 1 <br /> Tustin, CA 92780 <br /> 1-800-781-6777 <br /> Client sd�r°��,� + �� n is ed 6, - --- Date E a Page� Of <br /> Address `� - Lt� nr•4 L f 3/ Project Name ,r� u c <br /> Phone E--7';O -3 $'L, 3 toe' Pax��3C1� $ $k d< Coilectar f Client Project# _ <br /> Project hanager -7-1), 15t'EQ.-,1 Batch # Proposal# <br /> v <br /> m <br /> m <br /> ao � <br /> uto <br /> m 4� <br /> U L6 <br /> rn o o r o <br /> N o <br /> r� N m a Lo Ln o CD 0 o <br /> zs <br /> X <br /> aha m m v ado aaa cep o rV ro <br /> Sample Container a Q ¢ ¢ Q a ¢ Q Q {�. 0 m <br /> Sample ID4r_ Date ampled Time Typ Type w w w w w w w w w o Comments <br /> 'k <br /> 1 <br /> r cr << < < K <br /> k X- <br /> C r <br /> 0 > I r Z[ L <br /> 19- <br /> ! ? 1 <br /> Rel+nq fished by (signature) ate 1 Time LJR c vefl b (si ture) Date I Time�..11 Total#of coAon/col <br /> Notes <br /> I !f!�"j 1 <br /> "�12 < old� tZ`QO f % Chain of Custody seats <br /> Reh uished by (signature) Date I Time eceived by ( nature) Date 1 Time Seals intact? _ <br /> Received good condi <br /> Relinquished by (signature) Dale I Time Received by (signature) Date 1 Time Elm <br /> Turn around time VU Ni.4 <br /> Sample disposal Instructions Disposal(n_$7 00 each —_ Relum to clieni __ Pickup ___ <br />