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of. <br /> PUBLIC HFJLTH• SERVICES <br /> SAH COUNTY g �r <br /> P.O. <br /> O., Boxes Box 2005 b,91SL <br /> (1601 East Hazelton Avenue) <br /> Stockton, California 95201 <br /> MAIN OF CUSTODY <br /> 1 ALL SA7VLC9 ARE TO IIS RANDLED As COURT iVIOCNCE, AND ARE TO RX PROeE4LY SSC IN A <br /> BECL92C LOCATION. <br /> E. PL[A9E WRITR LEGIBLY. <br /> I- ATTACH THIS FORM TO THE OR12UF RE ORT OF 7K&: ANALYT I CAL RESLn i S ANO RrTLmN r}Im To Tm a <br /> Orrice. L.ADOittAyL'7RY RESULTS RKCr6 I VXD N I THOVT PROP" c A l N Or CUSTODY DOCUMENTATION x I I.L. <br /> NUT 114 ACCEPTED. <br /> 1. _ TO 91L =q-1PLETC0 VY LADORATCRY ANALY-qY 9. TO 19C J1-4 SAMPLC COLLCC <br /> E LAD NO.: - - SA PLI! LOCAYr/ON: rr <br /> DATE RECEIVED: _ I G�Gr7 ` l✓1�. i—GC�E <br /> SAhPLC S) CONDITION (PLEMIC C3-MCK): _ <br /> CAILLED: — COLWN SCAL.131 INTACT: DATE Or COL.LCCTICN: <br /> COFTTA I MR IN GCOD COMET I T I OFI: <br /> SAMPLG COLLECTOR: /•,Gist ._ � � /' <br /> VA-114 ANALYZ I S COWLICTCD: <br /> .T'r=tLPtION$ wo.: <br /> ANALYST: <br /> SAMPLIC IN VlT ON <br /> _AAMPLt DETrJVIrNATICRH r <br /> IIS RE:[itlltH'I' DL9G1R PTfON OOR4.tE 'TS - <br /> 7- �- <br /> I V12H <br /> C74AtN OF CUSTODY <br /> t�CL U51 VE DA.T€S <br /> s I=iATURZ T1TL.E f INCLUUIVF DATED <br /> i. 1� t <br /> -7-1,(, <br /> 12 lam T I T'LZ INCLUSIVE DA7" <br /> a i <br /> 9 I c.LATURE T I TLE I m"U$11n MATE.B <br /> R, <br /> .,..r..�. 7 w.,M,1 VP nay" <br /> 61 Cr+[ATURIC T I TLE - f IrCLUS I vIL DATLB <br /> t rt r 2.9.r a 11 . wH 1 TE-Rx rLniN TH I s COI'lr TO CNV I MON CNTAL, XCALTFi, CANAFTY-LA.BDRATORT COPE <br /> PIFI+C•CO!v1lgAt'TCRlCLSF1 ULT1V1e rQwY, C[tr,,yo+T^.cr�lrE <br />