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ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0*,;6 <br /> SAN JOAQUIN COUNTYMograar Coardiearors <br /> Donna K. Horan, R.e.xs" 304 East Weber Avenue,Third Floor Carl Borgman,R.E.H.S. <br /> DinsmrLaurie A.Cotulle,R.E.H.S. Stockton,California 95202-2708 Mike Huggins,R.E.H.S.,R.D. <br /> A.ccislnur Drrrrror Telephone: (209)468-3420 Margaret Clell o, R.E.H.S. <br /> Robert McClellon, R.E.H.S. <br /> Fax: (209)464-0138 Jeff Carruesco,R.E.H.S. <br /> Website:www.sjgov.org/ehci/ Kasey Foley, R.E.H,S. <br /> n CHAIN OF CUSTODY RECORD Vq 'F0 I GC' <br /> C <br /> 1. Sampler's Name I�4 U01 �(�2� Title �/ , 2� ( Unit <br /> 2. <br /> Date Time Item Location ID# Unit Required Remarks <br /> „'S )W.VOA <br /> ,aAnalysis Condition/temperature <br /> CLPlaan esu <br /> RjshBk� <br /> CAVI tj <br /> kolm 3`llO 3 g044 wr SU n C oy H <br /> ITC- <br /> Cot,) <br /> �5 10 M (, y 1 i R4�V cl r.Nul <br /> 72 <br /> Z-/IUf I,S/7YJ (l USM `. y(�- H <br /> me ❑raR <br /> ❑STLC,d necessary <br /> ❑96HrCels O y <br /> ❑Cametalslii <br /> EllundablftyOReachviN <br /> 7 M <br /> me ❑TaR <br /> 11sTLC'9 necessary <br /> 096ft Fish Bioassay <br /> ❑Cam 17 Metals❑pH <br /> OWlitabi <br /> ❑TTnc i <br /> ❑STLC,W neoessary <br /> ❑9614 Fish Bloaseay <br /> ❑Cam 17 Metals❑pH <br /> 0WAablRyOReacMy <br /> 3. Evidence tape 4.` U Sample transported in iced cooler <br /> 5. Relinquished by / Z-ti/rS <br /> Name h Titled Date Time <br /> Received by TD ;J �'�-r!D� <br /> Name Title Date Time <br /> Remarks(conditkxVtemperature) <br /> 6. Relinquished by QPY VY4 f 1!� r 0 A AF <br /> Name Title Date Time <br /> Received by Jt".�L, �16/l/0 5 ( 1�Z <br /> Nam T le Date Time <br /> C2r°In L11�1eC.1 0 r A Ll II ;SJ <br /> Remarks(conddiordtemperature) ?tc(f vC 6 ny " Kc�� Lrcl <br /> 1 4>7 �? 361 L.Di ,,ocl ll5o <br />