Laserfiche WebLink
4. X Sample transported in iced cooler <br />Vtk% Ck, LeCtt efti, , 3 ri t/t p <br />mc Title Date Time <br />ate Time <br />3. IN Evidence tape <br />Relinquished by <br />Received b <br />Relinquished b <br />Received <br />Title fooler, a e <br />L_ ill/AAL <br />Name I Title <br />emarks (condition/temper ture) <br />fS z :Ltz <br />Date Time t <br />te <br /> '17270r,-- <br />Time <br />Title <br />C\CCOU/V\-in I . <br />SAN JOAQUIN COUNTY 1-M°r1 93(01 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd <br />Sampler's Name \1\) N cj <br /> <br />CHAIN OF CUSTODY RECORD <br />Title 1.--121:1A Unit 3 <br />Date <br />1 <br />Time Item Location ID# Unit <br />(50 ml or 1L <br />amber jar, <br />VOA, etc.) <br />Required <br />Analysis <br />Remarks: <br />Condition of Sample, <br />Temperature, etc. <br />6 "I ll II31A ( gØ3 840 <br />LI. CAL 11._ <br />ttJ <br />P 1 LE <br />, 5 CO 14 L., <br />.. TTLC <br />0. STLC, if necel!is <br />liTCLP D pH <br />Cam 17 Metals Chrome VI , 1 <br />0 "Fine Powder" measurement ' '-'' <br />(Particle size <100 pm in diameter), <br />Olgnitability OReactivit <br />0 .11, v 0 tk <br />As 14.1 6 1 0 <br />a ;LIScst <br />il urn) <br />P I I, <br />2.-- <br />74 TLC NI TCLP D pH <br />:".:STLC, if necessary . am 17 Metals 18 Chrome VI, / <br />II 'Fine Powder" measurement <br />(Particle size <100 pm in diameter) <br />Olgnitability 0Reactivity A . <br />cp /1- IA.!rIA. <br />kg1A So1l'5 r <br />ve,ILIP 1 To -re . <br />LTTLC 1:14 TCLP OpH <br />TLC, if necessary <br />am 17 Metals f4,2 Chrome VI, '4 <br />CI "Fine Powder" measurement <br />(Particle size <100 pm in diameter) <br />Olgnitability OReactivitWiliv kr. <br />ic v stAcicceLa <br />Lti avid <br />‘414._ <br />, !Dv I pi Pr, <br />OTTLC D TCLP OpH <br />OSTLC, if necessary <br />['Cam 17 Metals El Chrome VI <br />0 "Fine Powder' measurement <br />(Particle size <100 per in diameter) <br />DReactivity A , _ -k41Olgnitability SO 00, <br />gt011-1 p <br />V1/4 1 C.1(3 erb q <br />I <br />OTTLC 0 TCLP OpH <br />CISTLC, if necessary <br />OCam 17 Metals 0 Chrome VI <br />0 "Fine Powder" measurement <br />(Particle size <MO pm in diameter) <br />Olgrlitability OReactivity <br />OTTLC 0 TCLP DpH <br />OSTLC, if necessary <br />OCam 17 Metals 0 Chrome VI <br />0 "Fine Powder" measurement <br />(Particle size <100 pm in diameter) 0 ignitability OReactivity <br />--- — — — <br />Remarks (condition/temperature) <br />06/27/12 by RyFf