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Uffra +�� Inc. <br /> N <br /> uff anw BEA <br /> CHAIN OF CUSTODY REPORT / <br /> Beacon Station No. ' Sam p r(Prim Na Date Foam Nom <br /> 4 <br /> ANALYSES �/�9 / of <br /> Project No. Sa ter(Sign re) <br /> L �� ee <br /> 14-7 1 � <br /> Project Locationznt <br /> . xs-0 .� <br /> 0 <br /> Sample Nolldentification Date Time Lab No. m 1CL a z°i REMARKS <br /> S S- 9 /S; 34 --e <br /> 7.' 06 - o ► <br /> Re'nquish : (Sig ure/Affiliatio Date Time Received by:(Signature/Affiliation) Date Time <br /> i <br /> elinqu' h ignature/Af iation) a Time Received by-� ignature/Affiliation) Liu V gatTime <br /> Relinquished by:(Signature/Affiliation) Date Time Rec ived by:(Signature/Affiliation) Date Time <br /> 9p M <br /> Report To, Bill ULTRAMA INC. <br /> 525 West Third Street <br /> r / Hanford, CA 93230 <br /> Attention: J �G�ryIU <br /> WHITE: Return to Client with Report YELLOW: Laboratory Copy PINK:Originator Copy + <br />