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1G�7 31 <br /> San Joaquin County -1 L2.E C/{ <br /> 0 <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 (��' j U" ►^' i Title �iL a !` Unit <br /> 2. <br /> Unit Required Remarks <br /> t W, Analysis <br /> Date Time Item Location ID# Condition/ <br /> VOA.°� Temperature <br /> L, TTLC TCLP Peru^-(i <br /> �rW STLC,if necessary <br /> n ❑96-HrFish Bioassay <br /> O / Ir` I m 17 Metals❑pH <br /> `" � J itabilityReactivity <br /> L01IY`r TPH G PTPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> El 96-Hr Fish Bioassay <br /> []Cam 17 Metals❑pH <br /> ❑Ignitability El Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,6 necessary <br /> C396-Hr Fish Bioassay <br /> ❑Cam 17 Metals❑pH <br /> ❑lgnitability❑Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> 096•Hr Fish Bioassay <br /> ❑Cam 17 Metals❑pH <br /> ❑Ignitability❑Reactiv ty <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,6 necessary <br /> 096-Hr Fish Bioassay <br /> []Cam 17 Metals❑pH <br /> ❑lgnitability❑Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> ❑96•Hr Fish Bioassay <br /> El Cam 17 Metals El PH <br /> ❑Ignitability❑Reactivity <br /> ❑TPH G❑TPH D <br /> 3. Evidence tape, 1 4-E Sample trangported in iced cooler <br /> 5. Relinquished by .t q i ' I ' ,�% �> Y ' - 21�g� ✓ I 5 .A,vy L <br /> Name Tale Date Time <br /> 6. Received by t c r- , t 1 /L k/0 7 1 f: t G R— <br /> Name itle Date Time <br /> Remarks(conditionitemperature) <br /> 7. Relinquished by. I '{— , oo ,� <br /> Name — Title Date Timei <br /> 8. Received by <br /> Name Title Date Time <br /> Remarks(conditioNtemperature) <br /> Cham Or C=Jy Rema&2007 <br />