t to DHG Lab Date 0 \ tv[> PAC) r \ '1. $ Yes No / / CO)" Cell o's 'at. Yes No ii I / 003 -I c,c, Yes No❑ / / 00'1 ( r, $ Yes Li NoO / / 20. Detaining Officer Name 7/ 6 / JOICA • nnt Signature Date a ACCEPTANCE/CHAIN OF CUSTODY a. Line Item No. b. Description c. Prin