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i i i i i f>! i• E, � i• i t• i i i i i 1s i <br /> SunStar Aratories, [[)c--" Cham of Cussy Record • <br /> 326 En6nita, Wvd;'Ste 150 <br /> Encinitas,,C7 ��`' <br /> 920 4 <br /> 2 , <br /> 1-8,00`900-9333 w <br /> Client AI ( /\5':-,C)C \ 1VVrS Date 12--10-0 Page Of <br /> Address Cna ' t{ 0,Pr�m'�C [7f SQ fIV Z'k$ l� rZ! , Protect Name (_;Z--SrF-e- C, ffr tO P <br /> Phone ,3b:S16'7 0 Fax Collector:_ t4 � Client Project# Y.3.-1�'82,?.16Z_(0 <br /> Project Manager M(ter DPIVOS Batch# Proposal# <br /> m a� <br /> m � <br /> 0 M c <br /> — o <br /> 0 0 0 0 u ups o o m o <br /> 0 0 CN N w c 0 0 <br /> Sample Container a co a Q co cc' Q B Q ¢ <br /> Sample ID Date Sampled Time Type Type w w w w w LU w w wi a Comments F- <br /> !3 ' f -1C7 r <br /> r 47 } / <br /> rA- <br /> i r�1 6 <br /> i VL.r 7 a 1f / <br /> /is q36 z : / <br /> -77 <br /> (elan uished-by ( ign tui Date 1 Time Received by,(signa�yrps)-,jr�' Date 1 Time #, Total#of containers Notes <br /> XJ '��r`l x __�i 'Chain'of Custody seals YININA <br /> Relinquished by (signature) Date 1 lim& _ Received by (sign(ature) Date/Time Seals intact?YININA <br /> Received good condition/cold <br /> ROmqushed by (signature) Date I Time Rec6ived by (signature) Date 1 Time <br /> k <br /> X11 <br /> JTurn around time <br /> Sample disposal Instructions Disposal @$2 00 each Return to client _ Pickup <br /> r <br />