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Ultrams? Mo. BEACON <br />` CHAIN OF CUSTODY REPORT <br /> Beacon Station No Sampler(Print Name) ANALYSES Date Form No,, <br /> 4 ^ of <br /> Prolect No Sampler t <br /> Project Location Affiliation = ro <br /> Wo <br /> 111 = _ <br /> -Sample No/Identification Date Time Lab No m z REMARKS <br /> Ll <br /> i <br /> Reljnq ` atu I ilEation) lD to TimeReceived by (Signature/Affiliation) Date Time <br /> 1736 r <br /> Relinquished by (Signature/Affiliation) bate Time Received by (Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> a_L_"rffi A JOAN 17!30 <br /> Report To Bill to ULTRAMAR IN <br /> Al ` 525 West Thir reet <br /> � � � �i- �•n-p•Zj�i.- �� Hanford, CA 93230 <br /> Attention <br /> Return to Client with Report YELLOW Laboratory Cap PINK Originator Copy +� <br />