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toAppendix H <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH <br /> CHAIN OF CUSTODY RECORD , f <br /> 1. Sampler's Name +��- � Title �- S Dept. !� - <br /> Date Time item Location ID# Unit Required Remarks <br /> Analysis tion/Temperature <br /> -113A F <br /> Cn.f pct � s.,�wtt <br /> 3. Evidence tape <br /> 4. Sample transported in iced cooler <br /> S. Relinquished by <br /> name title date time <br /> �� ...� � �—��~G13 <br /> Received by ' �'' - <br /> na title date time <br /> rcmarks (condition/temperature) <br /> 6. Relinquished by - <br /> name title dale time <br /> Received by <br /> name <br /> title date time <br /> remarks (conditionitemperature) <br /> EH 1.3 <br />