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SunStar CO <br /> Laboratories, Inc. <br /> Can of Custody Record N <br /> PROVIDrNG QuAu rr ANALYTICAL Slav Ices NAFIONW IDE <br /> N <br /> 25712 Commercentre Drive, Lake Forest, CA 92630 Cz <br /> 949-297-5020 ryry <br /> 1f <br /> Client: Date: ►1 Page: � Of L <br /> _ <br /> Address: r' Project Name: 1 <br /> Phone: " Fax Collector: « _ Client Project <br /> Project Manager: I' Batch#: T 2 C1 I EDF #: <br /> C N <br /> c U N <br /> ❑ ❑ N m � <br /> r <br /> 0 U cR C <br /> `]� X X X <br /> P 0 W C:'Or` 0- o <br /> N + M m 1E "E 2 L) <br /> Date Sample Container � 0 or N r r r o cc:q m <br /> � Sample ID Sampled Time Type Type Cn m m � cc m m cc m � CommentslPreservative <br /> t M- <br /> f7 n <br /> i'� 3 -7- YO <br /> 19 `f 4-5" e3r <br /> �r L -1 tsYJ <br /> 71- 7&423 Oar <br /> .2) 30 .V <br /> M <br /> Relinqui ed y' i nature) Date 1 Time R e y: (signature) Date 1 Time Total#of containers D Notes <br /> �110?,23 1 v2-1- Chain of Custody sealsgNINA Y i r! �v f <br /> inqu hed by: (signature) Date 1 Time Received by: (signature) Date 1 Time Seals intact?u(ININA v+ �� SO . <br /> -v~ J <br /> D �L7�' t tav ��r �-� Received good conditionlcold Z•$� <br /> R shed by (si tune) Date7 Time R Dale 1 Time T <br /> �� innat -2 Turn around time: <�^ r �� <br /> Samp a sal I ions: Disposal @$2.00 each Retum td client Pickup <br />