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Ulfrarghr Inca <br /> BEA N <br /> CHAIN OF CUSTODY REPORT <br /> i Ultramar <br /> Beacon Station No Beacon 695 Sampler(Print Name) ANALYSES n Date Form No <br /> Hal Hansen of <br /> Protect No 94-695-01 Sampler(Signature) <br /> Ad ALIncif:t °' <br /> C <br /> Protect Location Affiliation Doulos Environmental v a) <br /> Lodi °' 0 <br /> C7 O <br /> Sample No/Identification Date Time Lab NoMIL REMARKS <br /> MW-1 12909-01 <br /> MW-3 12909-02 <br /> I <br /> mw-4 12909-03 <br /> MW-6 12909-04 <br /> MW-8 12909-05 <br /> MW-9 12909-06 <br /> I <br /> MW-10 12909-07 <br /> MW-15 12909-08 <br /> I <br /> Relinquished by(Signature/Affiliation) Date Time Received by (Signature/Affiliation) ate Time <br /> elinquiahed by(Sign ture/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/A on) ate Time <br /> Report To Dale van Dam Bill To Ultra r <br /> El Dorado Environmental 525 3rd Street <br /> 2221 Goldorado Trail H ford, CA 93230 <br /> El Dorado, CA 95623 Attention Kenneth Earnest <br />