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uttralr Inc. � <br /> CHAIN OF CUSTODY DEPORT BEACON <br /> Beacon Station No. Sampler(Print Name) Date ;T—F"m <br /> No. ' <br /> 50 ZJim <br /> ANALYSES 3-2-Q of f <br /> Project No. Sampler(Signature) Wz:sr LAS— ':':AV I S <br /> Project Location A alion _ c tZE PcT� R�A�YT�CACrS <br /> -Xf 08:oo 04 <br /> Lob t I CA. c.� ✓�Rore�1 <br /> 0 <br /> Sam le No Jldentiliication Date Time Lab No. m z REMARKS <br /> z-- ! P 2-Z -Z-9 S" !l : Sa K K q L'o Po s,rE EAC,4 64auP <br /> K K O�Fov4 /n! rM9 GA$, <br /> T TF <br /> VED <br /> DATES TIME <br /> E <br /> WEST. LAB <br /> R uistted b :(Signature/Affillalion) 3�e 7irne Received by:ftnaturelAftiliatian) Date Time <br /> (AlI T <br /> Ishedby:(% natufatMiliation) I) to Time Aeceiv y:(Signature/ ffiliati' Date Time <br /> Reli ' hed by:(Sig ture/AtMialion) Dale Time Alived :(Signature/Affiliation) D t Time <br /> t IJ <br /> 'ReportTo: Chh4rv�C.EQ �,jq. Bill to: UI_TRAMAR INC. <br /> (q C. 3$--2GBS- 525 West Third Street <br /> AX (4/G (o S8—838"5- Hanford, CA 93230 <br /> Attention: KrowezLi <br /> WHITE:Return to Client with Deport YELLOW: Laboratory Copy BINK:Originator Copy ,�,� <br />