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ppendLc H Ll / I 14- <br /> PUBLIC HF1.L7H SERVICES <br /> ENVIRONMENTAL CicAI TH <br /> CHAIN OF CUSTODY RECORD <br /> ` OAD <br /> _ <br /> L Sample:shame <br /> tl <br /> Date I me [tem LocaLica I IDio Unit Required Remark <br /> Analysis Condition(I'emperature j <br /> b! <br /> M w 11 '){� PtltSTu. �� Lai 7OS <br /> 3J� :1�lrtrJ �V '�G'CtIA I vlrl'1 '�(.�t-t' (FGTi ✓ <br /> II i I <br /> 3. Evidence taoe� <br /> 4. Sample transported in iced cooler <br /> qtr +rw , R ffS 6- -DQ 101,30 <br /> 5. Relinquished by -'�n <br /> name tide data time <br /> l02-�D A1\,1 <br /> name > title date time <br /> remarks (cooI_a1ditionitrre//mperature) <br /> o. Relinquished by <br /> name title date rime <br /> Received by -,. (VID �¢— — IZ' g� P <br /> uaW 1 title date time <br /> remark (condidoa/temperature) <br />