Laserfiche WebLink
11/24/2010 WED 13: 27 FAX 2094683433 SJC EHD 0008/008 <br /> COPY <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> lowTelephone: <br /> 600 East Main Street, Stockton,CA 95202 <br /> (209)468-3420 Fra:(209)468-3433 Web.w w.sjgov.org/ehd -W o K NO-7 <br /> -� CHAIN OF CUSTODY RECORD <br /> 1. Sampler's Name Title Unit_ <br /> 2. <br /> Date Time Item Location ID# Unit Required Remarks: <br /> f50 ml orlt Analysis Condition of sample, <br /> amber jar, Temperature,etc. <br /> VOA,etc.) <br /> 07TLC 6 TCLP,If necessary <br /> OSTLC,If necessary <br /> OCans 17 Metals O Chrome VI <br /> ❑VFine leseemeasurement <br /> size um In dlmerl <br /> O'grltaollity 6ReactlVlty OPH <br /> 096 Hour Fish Bloal <br /> OTTLC O TCLP,If necessary <br /> OSTLC,If necessary <br /> cil 17 Metals O Chrome VI <br /> 'Particle size wUe4'measurementer <br /> Olgnitarlillty DRUCLiVlty OPH <br /> 696 Hour Fish 9loassav <br /> p OTTLC O TCLP,If necessary <br /> DSTLC,If necessary <br /> OCarn 17 Metals O Chrome VI <br /> 6 VrsieeoatIPal size in dimeer! <br /> Olgnit hIty OReactlVliv OPH <br /> 096 HoOr Fish alOaSSLV <br /> OTTLC O TCLP,If necessary <br /> 6STLC,If necessary <br /> OCam 17 Metals O Chrome VI <br /> O'Fme Powder*measurement <br /> ! IPartlGle slm a 166em In mameten <br /> Oignitabil'ry DReaCtIVOOPH <br /> 096 Hour FISn 9102l <br /> OTTLC O TCLP,If necessary <br /> ❑STLC,If necessary <br /> 6Cam 17 Metals 6 Chrome VI <br /> O'Flne Powder measurement <br /> 'Pardue site<100em in dlameten <br /> Olgnitabllfty 6Rei lry OPH <br /> 096 Hour Fish Wall <br /> 3. D Evidence tape 4. p Sample transported in iced cooler <br /> 5. Relinquished by lnl (,A pew < Pit,, <br /> a—Name IT le Date Mime <br /> Received by A. <br /> ame e ale y r 'mem <br /> Rem, em—piet raduire) <br /> 6. Relinquished 13V ame <br /> rt mwve <br /> Received by <br /> ame —Title —DamTime <br /> emar s con I ion tempera Fe) <br /> 10/5/10 by kit <br />