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Ulfra r Inca BEA - ; <br /> CHAIN OF CUSTODY REPORT <br /> Ultramar <br /> Beacon Station No Beacon 695 Sampler(Print Name) ANALYSES Date Form No Hal Hansen a of <br /> Project No 94-695-01 Sampler(Signature) <br /> cu <br /> c <br /> Project Location Affiliation Doulos Environmental o - <br /> Lodi M as 0 <br /> 2 <br /> a <br /> Sample No Ildentification Date Time Lab No m REMARKS <br /> MW-16 12909-09 <br /> MW-17 / 12909-10 <br /> MW-18 C�1 1 �- jG) 12909-11 �,J <br /> MW-19 12909--12 <br /> MW-20 12909-13 <br /> MW-21 - ) 12909-19 A -- <br /> MW-22 12909-15 <br /> MW-23 12909-16 L t <br /> Relinquished by(Signature/Affiliation) Date Time Received byy((Signature/Affiliation) Date Time <br /> elinquished by(Sign turd/Affiliabon) Date Time Received by (Sjgnature/A n) Date Time <br /> Relinquished by(Sign aturelAffdiation) Date Time Received by (Si IAfiilia n) 9 t Time <br /> lg �s z <br /> Report To Dale van Dam Bill To It ama <br /> E1 Dorado Environmental 525 W. 3rd Street <br /> 2221 Goldorado Trail Hanford, CA 93230 <br /> E1 Dorado, CA 95623 <br /> Attention Kenneth Earnest <br />