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unraftr Inc. BEAN <br /> CHAIN OF CUSTODY REPORT <br /> unramar <br /> beacon Station No Sampler(Print Name) Date Fo m No <br /> ANALYSES 5 � <br /> � y� of <br /> i <br /> Project No Sam p ( na e) <br /> C <br /> Project location Affiliation <br /> °SU) o <br /> 1 <br /> Iz �d�r o <br /> Sam le No/identification Date Time Lab No m � o_ z RE=MARKS <br /> 13C <br /> r <br /> Resin i lure/ filia id Date Time Receive y (Signalur ff la i .� Date Time <br /> 41* <br /> Relinquished by (Sig nature/Affiliation) Date me• I3 ceived by (Si 'rr 1h ial,on) Dale _ Time <br /> J <br /> Relinquished by (Signature/Affil i lion) j1 Date Time Received by (Signature/Affiliat�on) Dale Time <br /> Report To / Bili to LILTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> Attentiottenhon I�� <br /> �! �',� v j1�a!� ++n-s^►-r V� .� h —►.mss <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy "0D07190 <br />