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SunStar Chain of Custody Record <br /> Laboratories, Inc. <br /> PROVIDING QUAI-try ANALYTICAL SEkvwr_ti NAtio,4w x <br /> 25712 Commereentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 <br /> Client: � �5{/�'+SS0L�4iGS .IPV( • Date: d( x2- Page: of 3 <br /> Address:PJ 33z �v� x Cam- Project Name: � +�nJ �ARr'fG U _ <br /> Phone:(q, Fax:�J�u1�7 Collector: Client Project M Z d 0 —00 ¢ <br /> Project Manager: 7p t. 8P'U.§- Batch EDF#: 7-1 D 000 p Zo J(¢ <br /> m � <br /> C <br /> ❑ C N [9 y <br /> t >- — 0 N QS C <br /> x x x m U CD <br /> ❑ Lt o 0. o <br /> @ + C] <br /> a bate Sample Container O o Q <br /> `-J Sample I❑ S m led Time Type T N CO N N o C. 0 0 0 C. Comments/Preservative ° <br /> p P YP Type o0 oa co (mcN co CO cn ca C) C. r- <br /> -Q S r r7- <br /> 37 ! � <br /> �A,kTk V 0 S <br /> Re q ed by: (signature) as !Time R4;reiv y (signature) Date!Time Total#of containers Notes <br /> Chain of Custody seals&NINA <br /> R uis d by: (signature) rate 1 ime Received by: (signature) Dafe 1 Time Seals intact?1�NINA {5 <br /> �] \—I)Q7-5 I.7L LQ~Y�r ��� Received good conditionlcold y y: <br /> Relinquished by: (signature) Date I Time Received by: (signature) Date 1 Time � f <br /> M'oi> Turn around time.- <br /> Sample disposal Instructions- Disposal @$2.00 each r to client Pickup <br />