Laserfiche WebLink
SunStar Chain of Custody Record <br /> Laboratories, Inc. <br /> PROVIDING QUAT-n7 ANALTnCAL SERVICES NATIDNWIDE <br /> 25712 Commercentre drive, Lake Forest, CA 92630 <br /> 949-297-5020 <br /> Client:_SRiAC(PF ArssaC.MN-=S, 'U4 Date: S 1(,43 - �3 1-�- Z-3 Pager Of 2- <br /> Address: po 332- P,o,---V!TLA,7- CAr- Q6 f Project Name., V �J'� RA(rCt+- <br /> Phone: Fax: ;-:7—144 Collector: ERLdCA- Client Project#: Z60 d0_ <br /> Project Manager' Batch#: 1 'vs 2,.3�4 to EDF#: <br /> DO 060 2-D <br /> d! <br /> C_ N <br /> [S] 75 <br /> 4 U :E L7 In <br /> xt X c @ a] <br /> r y[ X 4) C7 L` V <br /> b ❑ LO F W a cL D <br /> Date Sample Container c> r r LD a _ <br /> [p (N `[C <br /> Sample ID Sampled Time Type C"TYPe (cwl <br /> V <br /> Comments/Preservative <br /> c--T � u o <br /> C4 V�' � <br /> — <br /> lo -�:• <br /> {� 3 a <br /> rz _ 4 0 <br /> hinq d by (signature) Date 1 Time Re'eiv by: (signature) Date I Time Total#of containers Notes <br /> 13 3 1- L-K— +Jt3i35 Chain of Custody seals�i�INA <br /> h y: {signature) ❑ate 1 ime ► Rejed key: [sgnature} Date I Time Seals intact?ONINA r'� r`1Q5 ��� Received good cvrlditionlcald y� <br /> Relinquished by: (signature) Date 1 Time Received�b�y_(`signature) Date I Time <br /> I Y/Z 3 10.[ 7l'�C 3191t3 Turn around time: <br /> Sample disposal instructions- Disposal @$2.00 each Return to client Pickup <br />