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San Joaquin County --rA j g-7 3,f,3 <br /> Environmental Health Department <br /> 600 East Main Street,Stockton,CA 95202-3029 ' I <br /> d,,F;;^•ate Telephone:(209)468-3420 Fax:(209)4643433 Web:www.sjgov.org/ehd CJI g F I?0 7 <br /> CHAIN OF CUSTODY RECORD <br /> 1. Sampler's Name C��''� f�' s Title57r- 415--H5 Unit <br /> 2. <br /> Unit Required Remarks <br /> Date Time Item Location ID# tSO , Analysis Condition/ <br /> OA,braM Tem erature <br /> q ❑TTLC C1 TCLP <br /> e `o-758. 096-HC, <br /> Bioassay <br /> ty <br /> t�❑rlC„,a•m 17 Metals E]PH <br /> ��}�� LJTPH GWPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,9 necessary <br /> E196-Hr Fish Bioassay <br /> ❑Cam 17 Metals❑PH <br /> ❑Ignitabiiity❑Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> 1796-Hr Fish Bioassay <br /> ❑Cam 17 Metals❑pH <br /> ❑Ignitability❑Reactivity <br /> ❑TPH G❑TPN D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> 096-Hr Fish Bioassay <br /> ❑Cam 17 Metals 0P <br /> ❑Ignitability❑Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> E196-Hr Fish Bioassay <br /> E]Cam 17 Metals[]PH <br /> ❑Igndabddy❑Reactivity <br /> ❑TPH G❑TPH D <br /> ❑TTLC ❑TCLP <br /> ❑STLC,if necessary <br /> 096-Hr Fish Bioassay <br /> ❑Cam 17 Metals❑PH <br /> ❑Irtnitability[I Reactivity <br /> ❑TPH G❑TPH D <br /> 3. ;"Evidence tape 4. Sample transported in iced cooler <br /> 5. Relinquished by <r Y5 � T ` <br /> Name title ate f Time <br /> 6. Received by ,, „ - 's[�c S,v'. �. G/J t/ate Ct <br /> Name 'Title Date Time <br /> Remarks(condition/temperature) <br /> 7. Relinquished by <br /> Name Title Date Time <br /> 8. Received by CJ l _ jei ( R"(8. n' L E.nE-- i 0 L41 Cam <br /> Name Title Date Time <br /> Remarks(conditionitemperature) <br /> Chap Of Cusft*Raved 8.2007 <br />