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Title <br />c12_. <br />042;c4. pool*, <br />a NA. <br />(Ai/ Teal <br />Remarks Date_ hIsn <br />47-eitrn <br />q: L044,, <br />toct <br />CHAIN OF CUSTODY <br />Name <br />Relinquished by: <br />Received by: YeSt t CO <br />Relinquished by: <br />Received by: <br />Rev 02/05/2019 <br />012 -- <br />ci <br />Relinquished by: <br />Received by <br />• i <br />.. <br />- <br />I _ <br />.0 <br />1. Z. t 03 UV' <br />SAN JOAQUIN COUNTY <br />Pai.tfiC. ICO RASA- cod • ingoiCe_ ENVIRONMENTAL HEALTH DEPARTMENT <br />ame repel+ fo 1868 East Hazelton Avenue, Stockton, CA 95205-6232 6e0 Anoyteal Latom6r3c1sephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.orgiehd <br />CHAIN OF CUSTODY RECORD <br />Please send results to: <br />-r - isov-1 n tt/t it,A--) .... Name: .0-1,,e,‘ tlA I` 11,k+ S <br />Email: emanzoglsirtov.orq & ttbackusgasixOyAM <br />-ND staff to call for further instructions:Garrett Backus <br />(209)468-2986, Elena Manzo (209) 953-7699, Muniappa <br />Naldu (209) 468-3439 <br />,-- <br />TA number: <br />Sample container descri tion Required analysis Method of sampling: Composite (C) Grab (G) Size of sample container (include units) Type of sample container: Glass (G) Plastic (P) Metal tube (MT) VOA (V) Evidence tape: Yes (Y) No (N) Transported in iced cooler: Yes (Y) No (N) TTLC, Title 22 California Code of Regulations (CCR) 66261.24(a1(21(A1 TCLP„ Title 22 CCR 66261.24(a)(1)(8), if necessary '(CAU EHD STAFF BEFORE RUNNING FOR FURTHER INSTRUCTIONSI STLC, Title 22 CCR 66261.24(a)(2)(A), if necessary '(cAU EHO STAFF BEFORE RUNNING MR FURTHER INSTRUCTIONS) Cam 17 metals, Title 22 CCR 66261.24(a)(2)(A) -;-c. r•-7, <br />r... .4 w <br />g CC U t ..) <br />N " <br />w <br />g <br />5: as <br />§ <br />u "Fine powder" measurement (Particle size <100pm In diamettql Ignitability, Title 22 CCR 66261.21 Reactivity, Title 22 CCR 66261.23 _ Corrosivity (pH), Title 22 CCR 66261.22 96-hour fish bioassay, Title 22 CCR 66261.24(a)(6) i' <br />Sampler's <br />name: <br />r ale: SR. it CkAS <br />Unit: <br />Sample address <br />Facility name: %) (2-. Sinfk 01* CD 1 <br />Facility address: ri kk S NAck\n‘q NjQ <br />Facility contact ‘412CA.- n(1 atiQ9._ <br />--—.,. ._ — <br />number Sample location ! Sample source <br />description <br />S ample Date Time <br />sampled sampled <br />SW 'A Ct <br />wo.31- 04 <br />WQ.Si— pnrci Soil 513P-a ci:Osoorn (.7 Sa o f (7 Y Y . )‹ <br />_ <br />4 o c 1 " Temp <br />9/15