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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY ,,#V"C"rdhmtm <br /> Deana H. Hems.R.s.H.S. 304 Eay.,Weber Avenue,Third Floor car,Barwo ,R.RJi3 <br /> Dv wr Mike H R.EH.S.,RD. <br /> r.aurk A.CONK&R.E.H.S. Stockton,California 95202-2708 M��gario,RE.H.a <br /> Asiata r Drmrror Telephone:(209)468-3420 Robert Md.4non,R.E.Hs. <br /> Fox (209)464-0138 .Teff Carraeeca�RAPY <br /> Website:www.sjgov.org/chdi Raney Foley.R.P.H.& <br /> CHAIN OF CUSTODY RECORD Vq FC) I0(D <br /> P41 I SampWs Name K 41 Vin flt�a— TIHe <br /> 2. <br /> Date Time Item Location IDJf Unit Requilmd Remarks <br /> e,,. pZ , Analysis CondltlonrlamperaWre <br /> a <br /> bbl <br /> o CAN n <br /> L G t� 1) — 1 <br /> c I n�e� <br /> L , am.w Ac i s �w <br /> .fde..rLA <br /> Ti IL Z'1- <br /> S-0, ;;"LOP A(w r i kOfr <br /> °7ae�r <br /> �; + <br /> " <br /> °sna reae.ry <br /> 3. XEvidenoa tape 4ypt Sample transported �p Cooler <br /> 5. Relinquished by&:t <br /> f S 1'1Two x5 , 3' <br /> Tkne <br /> Received by 'CD <br /> Name live Dab Tk,» <br /> Rernarlta(cmW0wwbmper0kJm) <br /> 6. Relinquished by if.�X- t-'""r sr• (5tt r02 A <br /> Name Me Date Time <br /> Received by �"kSA PATilde 6 J D ('4z <br /> Tele Dere Time <br /> 941 L SJ <br /> Rtse,ved fry Kms. wzrcx <br /> loi t tori 115o <br />