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Appendix H <br /> PUBLIC HEALT'ri SERVICES �j 2-3 <br /> ENVIRONMENTAL, HLT'.-! `fes <br /> CHAIN OF CUSTODY RECORD <br /> 1. Sample:s Namefb� Tacle �� OCOL �KJUd/vn M"W <br /> Data Time Item Location I ID* Unit Required Remarks <br /> Ana Lysis Conditionfr'emperature <br /> kl <br /> G(otl 4' !o 5,eo SG D 1 paavt�zcs �sl c st� y f&e, <br /> 26( 41CD2. SA <br /> 07(, <br /> Z(�o'+- y:� I �✓'ry SC 63 I ( I�HmM-c1e.r <br /> t'l ttc� i <br /> 3. Evidence cane v <br /> 3. Samote transported in iced cooler Q� ,1 <br /> S. Relinquished by V6t1��(rt� , ��5 , 9'Z-7-0- ): 30�m <br /> name title dace �— <br /> Received by YL o, � Sw w.m Le,— <br /> name title date tittCe <br /> remarks (coadition/temperature) <br /> 6. Relinquished by iL t�\,.�"O a c a" S"- .n G� i �^ Z? 0 L ,a <br /> me �- -t1ide t date/ tame <br /> Received by JC�I.� M RSG-t-,- N , 1 1211�t224 <br /> Y— <br /> name title date Lime <br /> remarks (condition/temperawre) <br /> 10 <br /> 13 <br /> �p� w� 5 <br />