Laserfiche WebLink
i= Ultrannasr Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> tstrram�r <br /> Beacon Station No Sampler(Print Name) Date 1 Farm No <br /> qqq IV4 aha/ 3 1)Qti ANALYSES - S of <br /> Project No Sampler(Si nature) <br /> ) ygq 31 N <br /> cr-. � <br /> Project Location Affiliation o <br /> — �, <br /> -� oCK�Di1 OYr Zoe ' Jiroh>��� t % FZ0 <br /> w � = <br /> Sam le NoJldentification Date Time Lab No m REMARKS <br /> -oqo- - y1 4 -7-9�r -g , q5- I 11 131 <br /> F 1 , <br /> Relinquished by (Signatur Affibabon) Date Time Recerved by (S)gnaturelAffrhatxon) Date:�LL 'mq <br /> Ti <br /> L. <br /> Relinquished by (SignaturelAffifiation) Date Time Received by (Signature/Affiliation Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/ tion) at Time <br /> �� <br /> Report To �r ✓ Bill to ULTRA R <br /> 6G/I ��`+r(��v- 525 West Third Street <br /> � p Hanford, CA 93230 <br /> � a � 2 �f <br /> v Attention <br /> I II eturn to Client with Report YELLOW Laboratory Copy PINK Originator Copy "9O <br />