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r r r r r r r r r r r r r r r r r r r <br /> Unramar Inc. BEAC oN <br /> CHAIN OF CUSTODY REPORT <br /> un�r�r <br /> Beacon Station No. Sampler(Print Name) / Date Farm No. <br /> ?� /Plcff'40 /�Ll�l-N ANALYSES of <br /> Project No. S p (Signature) 0 <br /> 96102- - 7-- <br /> oject Location litionPr75 <br /> LU __ <br /> Sample No./Identification Date Time Lab No. m z°i REMARKS <br /> R fished by: (Signatur Affiliation) Date Time Receiv d by: ?/Affiliation)(Affiliation) Date Time <br /> Reli uish by: ( ' nature/Affiliation) Date Time Received by: (Sig nature/Affilialion) Date Time <br /> Relinquished by: (Signature/Affiliation) Date Time Rece'd by: ( ignature/Affiliation) Date Time <br /> ReportTo: e C A�� lir' Bill to: QJ, <br /> RAMAR INC. <br /> 25 West Third Street <br /> 56e, Z,o Hanford, CA 93230 !, <br /> A,-. Attention: _--�r, kz" <br /> WHITE: Return to Client with Report YELLOW: Laboratory Copy ��PINK: Originator Copy <br />