Laserfiche WebLink
toRE----*JA UItratar Inc. C 0 <br /> l �c(�] / BEACON <br /> �I(��)! - �`��� CHAIN OF CUSTODY REPORT <br /> Beacon Station No C Sampler(Print Name)i ,"tt�` Form Na <br /> C(��� ANALYSES j <br /> Project No Sampler at re)`A <br /> CIZ - 733 V <br /> Ca <br /> Project Location _ _ Aff tion c v <br /> �IIJt �, c t}�IZCJI�r= i Aegis Environmental T v Please use Tri-Regional <br /> x 013 o detection limits' <br /> w = x <br /> Sample Noildentification Date Time Lab No m z REMARKS <br /> .10 S XXI <br /> Rel in cashed by ( I na �e/Affiliation) to Time Received by (SignaturelAtfdiation) Date Time <br /> Relin uishpd by (Signature/Affiliation) Date Time Peceived by (Sdna Affi on) Date Time <br /> Re#inquishedy (sign t re/Affiliation) ate Time R �ved by ( ig re/Atf�l� tion} a Time <br /> Report To Sheila Richgels C'7�L�) 1,;;1c:-Z11G Bill to ULTRAMAR INC <br /> Aegis Environmental r=Ax 7e,� 7e 7c> 525 West Third Street <br /> 1050 Melody Lane, Ste 160 Hanford, CA 93230 f� <br /> Roseville, CA 95678 Attention _11L AWC! ill 11jeAlt_ �1� <br /> ,SHITE R rn to Client wit p e, oil YELL01 Laaorato Copy PI►�� ngmator Copy __ 3250031M — <br />