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CO <br /> SunStar Chain of Custody Record 0 <br /> Laboratories, Inc. <br /> PROVIDrNG QL'AurY ANALYTICAL SERVICES NXF10 WIDE <br /> N <br /> 25712 Commercentre Drive, Lake Forest, CA 92630 <br /> 949-297-5020 <br /> if <br /> Client: Date: �r Page: Of _ <br /> Address: r' Project Name: l <br /> Phone: " Fax Collector . if Client Project <br /> Project Manager: I' Batch#: T 2 __� i c , EDF #: <br /> T <br /> 7. t �7 <br /> C V <br /> ❑ C �y [p � <br /> Sk p X <br /> 0 P Q W 0- o <br /> [ti + m m r• L) <br /> Date Sample Container n 0 or N r r r o N WO <br /> � Sample ID Sampled Time Type Type cc m m � cc m m � m c(n Comments/Preservative <br /> 11 63-10 } 1i_ valob <br /> f7 0 <br /> 1� 3 -?- r a <br /> 19 `{ fr S <br /> 7-4s � y-IU yo <br /> 3 30 y <br /> Relinqui ed y' i nature) Date I Time R e y (signature) Date I Time Total#of containers Notes <br /> 0 C)2-1- Chain of Custody sealsLVNINA I+ P(Ij <br /> inqu hed by: (signature) Date I Time Received by: (signature) Date I Time Seals intactWININA I {'( SO ' <br /> 23' Received good canditionlcold 2-$." <br /> R shed by {si ure Date Time R innat ~7 Date 1 Time T <br /> - - Turn around time: <^ )�r <br /> Samp a sal Iions: Disposal @$2.00 each Return t client Pickup <br />