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0 Sample number 1/-CO_SOV Ac<„ui,-;---,,\_.co SAN JOAQUIN COUNTY .z• . ENVIRONMENTAL HEALTH DEPARTMENT ......Y 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 468-3433 Web: www.sjgov.org/ehd cipbill"\ CHAIN OF CUSTODY RECORD 1 _ Lr <br />• <br />1h Sample location 1 Sample source description Sfm(X-\n 11(16,iL,s_cR_ -vr1 5 "2— CI Izek-kS ..., -- <br />kl) <br />cv-I <br />9) <br />. <br />ea' E) <br />.- <br />-0 <br />i Time sampled <br />q."' Met od of sampling: Composite (C) Grab (G) ISample container description t Size of sample container (include units) <br />Cs <br />-1 <br />Type of sample container: Glass (G) Plastic (P) <br />Metal tube (MT) VOA (V) <br />Evidence tape: Yes (Y) No (N) <br />Transported in iced cooler: Yes (Y) No (N) <br />TTLC, Title 22 California Code of Regulations (CCR) <br />• 6.1.24(a)1211A1 Required analysis 111111 1 TCLP„ Title 22 CCR 66261.241a)(1)(13), if necessary <br />WU. EHD STAFF BEFORE RUNNING FOR FURTHER INSTRUCTIONS) <br />I 111111 STLC, Title 22 CCR 66261.24(a)(2)(A), if necessary <br />(CALL END STAFF BEFORE RUNNING FOR FURTHER INSTRUCTIONS) <br />Cam 17 metals, Title 22 CCR 66261.24(a)(2)(A) <br />Chrome VI, Title 22 CCR 66261.24(a)(2)(A) Please send results to: Id) vs. /1 KA fitn—-, Name: tIA %OA' I Email: emanzo@sieoy.ore & gbackus@siRoy.org 'END staff to call for further instructions: Garrett Backus (209) 468-2986, Elena Manzo (209) 953-7699, Muniappa Naidu (209) 468-3439 I 1111111 "Fine powder" measurement (Particle size <100µm <br />in diameter) <br />Ignitability, Title 22 CCR 66261.21 <br />Reactivity, Title 22 CCR 66261.23 <br />Corrosivity (pH) , Title 22 CCR 66261.22 <br />96-hour fish bioassay, Title 22 CCR 66261.24(a)(6) :Aq paysInlouLiati 6TOUSIWZO AJ :Aq patismbuoa8 :Aq paqsmbupd Aaoisn) JO NIVHD 3 <br />03