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SunStar <br /> Chain of Custody Record <br /> Laboratories, Inc. <br /> PKOV S 111ING QUA MY ANAI.Y'ncAS.SF-Rvic NAHONWfnE <br /> 25712 Commercentre drive, Lake Forest, CA 92630 <br /> 949-297-5020 <br /> Client: 8Rt1S +'n tS5 cc_'4A—z&S 1r1L s Cate- 0��Zn-,1, yr ('�_17_Z Page: L of 3 <br /> Address: o ELY 332-, Pt`:�U 241Z Project Name: <br /> Phone G(r 6 6 -(4 40 Fax: 1[6 - Collector. 0RusU4— Client Project#: z 6 0 " 00 <br /> Project Manager: JO C-,BR,SLA- Batch#: 7731e7/V E D F#: 1 pOw-2-u s'64 <br /> 21 <br /> m m <br /> # P 67 ,q N U1 C <br /> O C 9 <br /> 4 <br /> o 0 F h m a tyXj oa 0. a7 <br /> 16 4- + m m <br /> o Date Sample Container w w m a cv n �+ o a <br /> Sample Ip Sampled Time Type Type m m CO CO � w co OG (0 CommentslPreserva[ive <br /> N <br /> S I L z3 -S <br /> ROL <br /> �iI r be <br /> Al <br /> 3 - <br /> ���-ter <br /> `_4 _Z i <br /> 27 r t <br /> l�J - 3 AMD <br /> t <br /> R inq shed by: (signature) at/2Z <br /> Time c d by: (sig ture) Date 1 Time Total#of containers Notes <br /> 3 l fJ Chain of Custody seal lNINA q5 <br /> e ui ed by:{signature) Date I Ti e Received by: [signature] Date 1 Time Seals intact'.) NINA 5 <br /> �' Received good conditionlcold y, <br /> lRee#inquishe by (signature) Date I Time Received b (signature) Date 1 Time <br /> G2"S slrg �3 Id tU le:ex_�' Turn around time: <br /> Sam4e4disposal Instructions- Disposal @ 52.00 each et to client _ Pickup <br />