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Ultar Inc. BIEVON <br /> f CHAIN OF WTODY REPORT <br /> umamar <br /> Beacon Station No Sampler(Pent Name) Date Form No <br /> z -7 <br /> c- ANALYSES of <br /> 41 <br /> Project No Sampler(Signature) <br /> f �/ � ! J i • 1 /1 � W <br /> CU <br /> Project Locationi���!'t•3 �. _hl'� Aff,lition <br /> N (n 1 CO <br /> t <br /> Sample NoMentification Date Time �' Lab No m } z° REMARKS <br /> xx <br /> 01 <br /> /�J✓--_ r� l2 /. X <br /> r <br /> i <br /> Reftnqu,sh by. (S,gnatur /Af,hat,an) Date Tame Received by (Signature/Affiliation) Date Time <br /> _� w..c��, �'/ter!✓ ..�� � i�� <br /> ehngbished by (Signatur ffil,at,on) Date Time Received by (Signature/Affiliation) Date Time <br /> j Relinquished by.(Sig nature/Affil ation) Date Time Received by f Sigrt turel ffiliation)/ Date Time <br /> Zi/617Report To Bill to XAMA <br /> NC <br /> 5 5 est hard Street <br /> Hanford,CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 3260031W <br />