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SAN JOAQUIN COUNTY '1�SU2 Zq <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a � <br /> 600 East Main Street, Stockton,CA 95202 <br /> Telephone.(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> CHAIN OF CUSTODY RECORD <br /> 1. Sampler's Name67arre,--tt fa=6*4ns Title zn� , 2t./ / Unit ) <br /> 2. <br /> Date Time Item Location ID# Unit Required Remarks: <br /> (50 ml or IL Analysis Condition of Sample, <br /> amberjar, Temperature,etc. <br /> VOA,etc.) <br /> ®TTLC qa TCLP OpHTa.6.'p -u.,1.7-/G._ <br /> F <br /> D�r TG . t<•.. <br /> ®STLC,if necessaryp -F�tla�r.•�- <br /> r I, 2O r r r RICarn 17 Metals ❑Chrome V <br /> O'FinePowder'measurement <br /> 111— (Padeiin<10K),min Zl�),,yr1fs4.7-/,Aei�ft.t,W.r.-/.,/;t�t�A•s, <br /> < <br /> 6amaler) �� •Z�y-ei n7lvo f�lq� <br /> Zo/Y []Ignitability []Reactivity ri clnlu:vc.f <br /> []TRC OTCLP OpH S) 'R:P�ncA/wv.'.fGl.k <br /> []STLC,ifnecessary marl C Pb ocd2d <br /> []Cam 17 Metals []Chrome VI <br /> []'Fine Powder measurement (0�10�121Q-1w <br /> (Panide size<100 Pm in diameter) <br /> ❑Ignitability, ❑Reactivity <br /> []TTLC ❑TCLP OPH <br /> []$TLC,if necessary <br /> OCam 17 Metals O Chrome VI 4-c-It .G— C. cw, p <br /> []'Fine Powder"measurement <br /> (Particle size<100 pm In diameter) <br /> ❑Ignitability ❑Reactivity + F 1 <br /> 13TTLC O TCLP OpH <br /> OSTLC,if necessary ,,rr <br /> []Cam 17 Metals O Chrome VI A� 19 <br /> 7�TJ� <br /> ❑'Fine Powder'measurement <br /> (Particle siu<100 Wn in diameter) <br /> ❑Ignitability ❑Reactivity, <br /> OTTLC [I TCLP OPH —�— <br /> []STLC,if necessary <br /> []Cam 17 Metals O Chrome VI <br /> ❑'Fine Powder'measurement <br /> (Padlde size<100 Pm'n diameter) <br /> ❑Ignitability, OReacdvity <br /> OTTLC O TCLP []PH <br /> OSTLC,if necessary <br /> pcam 17 Metals O Chrome VI <br /> [3'Fine Powder measurement <br /> (Pa,acle size<100 pm in diameter) <br /> ❑Ignitability ❑Reactivity <br /> r <br /> 3. Evidence tape 4. Sample transported in iced cooler <br /> 5. Relinquished byl �� /2�=1��6 �cI 2v— <br /> Name f Title DatT Time <br /> Received by SI A NL ID-2' t' 15 4S <br /> Name Title Date Time <br /> Remarks (condition/temperature) <br /> 6. Relinquished byr. S1G� , SGf1C� tG-z -11 <br /> Title IE ;LIO <br /> Name Titl— Date Time <br /> Received by �er.K%u' ng, 10-2-1 Z t(0� NU <br /> me ) Title— j Date Time <br /> Remarks (condition/temperature) <br /> 06/24110 by klf <br />