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)cndi; H <br /> ?UBLIC HEAL i IH SEtVICF-S <br /> EN V LR O NNMENTAL. h7-AI.TH <br /> C:-L- I OF CUSTODY RZ-CORD <br /> 1. Sampler's Naine�• � E b <br /> p W rtle�P. KS De c <br /> Date Time Item L=Lion ID Unit Required Remar'm i <br /> Analysis Conditical7etnncmture <br /> I ' <br /> TF- <br /> 1` M ,►f AM 17 <br /> IL <br /> I I I I <br /> I I I I 11 <br /> 1 <br /> I <br /> ;. Fvidencr tape <br /> 4. Sample tr..=Dcrted in ic=i Coale- <br /> 1'y <br /> oolerby <br /> name title date time <br /> e�+ by& : 1/ /"/,X/,97, <br /> J,3: <br /> name v title da& bate <br /> Ytl� l� � zey-!/) <br /> remar (coaditicn/temperature) <br /> i <br /> b. Relinquished <br /> name title time <br /> Received by ll:� -7''n-At, i o/1/5 <br /> a:me title d:.te time <br /> remarks (cc nditic a/tempe:zLure) <br /> �" I3 <br />