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SunStar <br /> Laboratories, Inc, Chain of Custody Record <br /> PROVIDING QUALITY ANALYTICAL SERVICES NATIONWIDE <br /> 25712 Commercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 <br /> Client: ��sCA I OG� s{�Mc. Date: OA1612 3 -5 1�- Z­7 Page: Z Of <br /> Address 0 3'Z Rv4 CA q S Project Name: ►Qum Ofn 34�l�aV�P�NYe.[-1- <br /> Phone: f b 6-7 7- A- o Fax:��[� 631- 471 Collector: & fkA- Client project#: 260 -004 <br /> Project Manager: _]ea. 139,x'�C1- Batch#: EDF#: -�IiC90000 2_096 <br /> C N <br /> @ [t1 <br /> _1 Q] <br /> C► C N N <br /> ❑ C � <br /> J2 C <br /> GA x x o <br /> T + m m <br /> a Date Sample Container o N o m <br /> Sample ID Sampled Time Type Type Co co m m Co m OD (0 Comments/Preservative <br /> d ' o Z-3 w+4-�=fL_ s <br /> - 1 t z3 5v-2L- sL n;Fv E, <br /> [O -Zu <br /> f i4 !o-3o <br /> i* «- 5U <br /> io- <br /> z3 (4 to - 0 <br /> Rei u d by (signature) ❑ate 1 Timee R�r�i by: (signature] Date 1 Time Total#of containers Notes <br /> t 3 J � Chain of Custody sealsONINA <br /> R li sh1=0 <br /> ure) Date 1 me Rec ived by:(signature) Date 1 Time Seals intact?ONINA { <br /> p 7 Q� S L S Received goad cvnditionlcol[f <br /> Relinquished by: (signature) Date 1 Tirnii Received by: signature] Laz <br /> Date 1 Time ��fCh�s g/IS/z 3 r0= f �--' % 3 i�= Y Turn around time: Y ap'MN4, <br /> Sample disposal Instructions- Disposal @$2.00 each _� Return to client Pickup <br />