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San Joaquin County <br /> Environmental Health Department <br /> 600 East Main Street,Stockton,CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-3433 Web:www.sjgov.org/ehd <br /> CHAIN OF CUSTODY RECORD <br /> 1. Sampler's Name Title Unit <br /> 2. <br /> Unit Required Remarks <br /> rd orDate Time Item Location ID# � ;:,` Analysis Condition/ <br /> voa brass tube,,etc.) Temperature <br /> t6TTLC'yjTCLP oent&t-C/ <br /> (�1 �•��1 ( STLC,if necessary <br /> �s ❑96-Hr Fish Bioassay <br /> el S'( ��(f` r1initabm 17 Metals❑pH <br /> ` .7.. 0►" ility Reactivity <br /> TPH G CRTPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> ❑96-Hr Fish Bioassay <br /> ❑Cam 17 Metals❑pH <br /> ❑Ignitability❑Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> ❑96-Hr Fish Bioassay <br /> E]Cam 17 Metals❑pH <br /> ❑Ignitability❑Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> ❑96-Hr Fish Bioassay <br /> ❑Cam 17 Metals❑pH <br /> [I Ignitability[I Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TfLC ❑TCLP <br /> ❑STLC,if necessary <br /> E196-Hr Fish Bioassay <br /> []Cam 17 Metals❑pH <br /> ❑lgnitability[]Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> E]96-Hr Fish Bioassay <br /> ❑Cam 17 Metals❑pH <br /> ❑Ignitability El Reactivity <br /> ❑TPH G❑TPH D <br /> 3. Evidence tap 4-fo Sample transported in iced cooler _ <br /> 5. Relinquished by4kA J�� i✓ � , ` 2%/ 6-� i I ' <br /> �—� Name Title bate Time <br /> 6. Received by'. 2Gc�7�`.,.�.�_ S�o.w. t< r. , t z /Z'87/a 7 <br /> Name TRIe Date Time <br /> Remarks(condition/temperature) <br /> 7. Relinquished by <br /> Name Title Date Time <br /> 8. Received by <br /> Name Title Date Time <br /> Remarks(condition/temperature) <br /> Chain Of Custody Record 8-2007 <br />