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K333 -0 <br /> y N./ Appendix H <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH <br /> CHAIN OF CUSTODY RECORD <br /> LP�hiiLl f� I�5 <br /> 1. Sampler's Name t Title 51" f eE 4S Depc- Q!,- 6'rlVr✓OnrYlP.6+t� <br /> /}Ilsorl owt'�a'ua� EIfS <br /> Date Time Item LocationID Unit Required Remarks <br /> SW 1111gq— Analysis Condition/I'emperature <br /> cX1 q,wtr+ nn i7"IS ambttnl- }crvt <br /> II 17 Ii, M if- <br /> filkrpress IA Y r1G11 JAr 96N'.Hst��( <br /> II I f II:Q filler Prd3 1 P .tttl uar� <br /> It <br /> CAM p.mbl2Wt +Grnp2raf it/ <br /> 11 �q q f[✓ioNssulRrk aKa+ a .Esnbt as MmbL2Vw +cwt cttu,g K,� <br /> 2 A PtilAl � <br /> 1011M If'• 4txroKssuiftte 28 gal �f " blavtt <br /> FrYrrM55tU I tt 1 5 L::•-- <br /> I �fi IC•{5AM ZG 4 arI eAM t�� bti�tJ <br /> I11 �� � ✓ 'W <br /> db�r I r <br /> r <br /> 3. Evidence tanex <br /> 4. Sample transported in iced cooler <br /> ;am(A'-'�:Relinquished by i -50'. R.F <br /> ame title date time <br /> Received b 11- 17-91 <br /> n4meV title date time <br /> /Apnhi e vl-" fif-M A <br /> remarks (c IonditioNtemperatnre) <br /> 6. Relinquished by' y 1 ti J Ir 2°l-e��l 1:15PM <br /> e illsCIAZI date time <br /> Received by � <br /> e title date time <br /> remarks (condition/temperature) <br /> EH 13 <br />