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J<333 -off <br /> Appendix H <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL. HE.-.LTH <br /> CI4.AIN OF CUSTODY RECORD <br /> L�V'►�a fir s Sr. REHS <br /> 1. Sampler's Name Title Dept. C- ��V�noyimeyt }fzsq,l41tq <br /> �{iso•1 aum�vtrx! �HS <br /> Date Time Item Location ID# Unit Required Remarks <br /> SW I I11gq— Analysis Condicion/Temperature <br /> rru_ <br /> �,Ifwpres6 n 1 aktar+ A. I"I Mgrs arnbt�vL+ }c�vt(.�era u 1 3 (o L3 <br /> 11PL1 M IA R11'IC1� `fAr `�LNi.{+S ac <br /> 1117�q l I:00AM fi frk e((!!5--6 I ua rt t [ l ovvt b L v,.t <br /> G Ra#e+ (,AM V7 MIS <br /> 2A PIV1Gil JQ� q+<h�.F,s+�,b� - ar►1bt�vvt +C, t atu,e K�3 <br /> ll Gq 6l Rr�ow�swlE�i1C 26 "v�iccl J�v " bterit <br /> - Il �i i� 16AM sul ZG +t 4 <br /> imp s <br /> Id1oc� 1 _f i <br /> i <br /> 3. Evidence tape' <br /> 4. Sample transported in iced cooler <br /> Re!inquished by i 50R. P . E r, <br /> A�,nee [itle date [ime <br /> Received b d ,Vs //- /7- 4 9 // ys4'Zmtitle date time <br /> -"f �2 <br /> remarks (conditlon/temperature) <br /> 6. Relinquished by , <br /> 110 d 41 j <br /> e title �-��;!� date time <br /> frls ti� <br /> Re--ived by 1��u/r� /�'2 <br /> n e title date time <br /> remarks (condition/temperature) <br /> EH 13 <br />