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Aooendiz H <br /> PUBLIC FM-kL..T:-13ZRv"TC�S <br /> ENVIRONVI E:ti i;L. FE LT:-i <br /> C"iAJIN OF CUSTODY RECORD <br /> I. Samole,-'s Name' �� P �IB Tit1e (_ /-i 5 Dept. S -, <br /> J�. ! <br /> f Ccs .� <br /> Dace Time Item Location M-# Unit Rc: uired Remarks <br /> j Analysis Conditionl?'emperature <br /> I <br /> (i`j Q0 ' 3oIJ �, 1 m�ra, s TtJ.c- .f Tcw <br /> 4 ,s ; <br /> �- ti t�.��. I TS ^ <br /> LP �l-Ub <br /> 3. Evidence cape <br /> 4. Sample tra:uported in iced cooler <br /> 5. Relinquished by / <br /> me&a IV title date ume <br /> Received by <br /> ame title date time <br /> �' C <br /> remarks (condition/tempe cur <br /> a ReLinquished by <br /> name Lille date time <br /> Received by <br /> name title date ume <br /> remarks (coadiuonAemperature) <br /> CJy �► `I <br /> .i � <br />