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ENVIRIOT -MENTAL HEALTH ")EPARTMENT <br /> �4'`4 c SAN JOAQUIN COUNTY <br /> •• .oy <br /> Donna K. Heran, R.E.H.S. Program Coordinators <br /> 304 East Weber Avenue,Third Floor Carl Borgman,R.-E.H.S. <br /> Director <br /> Laurie A. Calulla, R.E.H.S. Stockton, California 95202-2708 Mike Huggins,R.E.H.S,R.A. <br /> Margaret Lago6Robert McCkellf Assistant Director Telephone: (209)468-3420 lell o,R.E.H.S. <br /> on,R B.H.S. <br /> Fax: (209)464-0138 Jeff Carruesco, R.E.H.S. <br /> Website:www.sigov.org/ehd/ Kasey Foley,R.E.H.S. <br /> CHAIN OF CUSTODY RECORD <br /> 1. Sampler's Name R�� UIM J�1/&^C­ Title �/�. r'�� Unit <br /> 2. <br /> Date Time Item Location ID# Unit Required Remarks <br /> amber jar, Analysis Conditionfremperature <br /> brass ft",etc <br /> I p Cj7s <br /> f �'] <br /> I've �L �L) +� (� ST HrBioassay L t � <br /> J gr-b-1 nitaadjvifiy � C <br /> �(} "tr/'� 1j}� �� , � /v! 96-Hrsay <br /> 1 / �� ®pH' cGv' <br /> tTnTLC QTCLP <br /> LC,i-Flt Fish Bioassaym 17 Metals�pHel/LC ❑TCLP <br /> ❑STLC,it necessary <br /> [196-Hr Fish Bioassay <br /> []Cam 17 Metals❑pH <br /> ❑I nitabili ❑ReacW <br /> ❑TTLC ❑TCLP <br /> ❑STLC,K necessary <br /> ❑WHr Fish Bioassay <br /> ❑Cam 17 Metals❑pH <br /> ❑I nilabili ❑Reath_' <br /> ❑TTLC ❑TCLP <br /> ❑STLC,If necessary <br /> ❑WHr Fish Bioassay <br /> El Cam 17 Metals❑pH <br /> ❑I nitabil' ❑Reacti ' <br /> 3. Evidence tape 4.t�Sample transported in iced cooler <br /> r� rS <br /> 5. Relinquished by � �' <br /> �l«--, �`, � S 2`1� , �< 30fr"1 <br /> Name Title <br /> Lf, <br /> "�,,� Date Time <br /> Received by TD � <br /> Name Title Date Time <br /> Remarks(condition/temperature) <br /> 6. Relinquished by CP+�e '&i l`' W ( NU e o <br /> Name Title Date Time <br /> Received by [AV:n,k S"N► ,u" f f l),� ( W-z- <br /> Name T le Date Time <br /> 2A4 t� Remarks(condition/temperature) <br />