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11/12/2003 11:58 209572 916 GEO PAGE 04/04 <br /> t- —*v vitclulNlvtL1V'1 . .Appendix H <br /> HEALTH DEEARTMENT <br /> SANJOAQUIN COUNTY LIC T-:Sa Trri SF-o VTCFS <br /> �tRO N2tiiFNi AZ.F[cAI.TH <br /> RAYMOND J.VON,FLUE,ILE.H.S. <br /> Registered EnvironmcmaI Health 5pcciatig OF CUSTODY RECORD <br /> (209)468.9848 304 8.Weber Avm,, <br /> FAX009)4458.3433 Third Floor �'� OCpC <br /> Email:rvwflue@sjcehd.e, Stockton,CA 93202.2708 '— <br /> Dnte I Tlmc I Item f [ ovation 11b <br /> Unit Regaircd Remara <br /> clysis C0ndW0n/I'cmperatttre <br /> I�Ido g;23a 5f�4 I� <br /> p <br /> fv(2 .lo gtiZ �d�F A r- <br /> I <br /> 3. Evident tape �2-e �GC j V/27/ fes'°" <br /> a 3 4as <br /> k Sample transported is iced coa[er �O u� 0,Vl, <br /> I <br /> ReUnqugS,tn6I,�I�/�gr 2f� <br /> .ra by <br /> °tee title date <br /> time <br /> Rccafved by <br /> name Utle /D 0 2 3 <br /> date Lime me <br /> remarks (madlUon/temperaturc) <br /> rr� �zA <br /> 6 Relinquished by 0 <br /> name Licit dal <br /> [ime <br /> Rra:*ived by rCj 2--- L zu 9_r 2,i <br /> name title dace <br /> time. <br /> I `t emarkc (eonditiottlteMperuL rc) <br /> /�'tet,✓�.�,� t,, �n� vu� I��ti. I o�42 <br /> AjZU(�'J <br /> L�,2 <br />