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unratir Inc. / 0 d 7 VBEAN <br /> CHAIN OF CUSTODY REPORT <br /> uh.m.r <br /> Beacon Station No Sampler(Pnnt Name) D to Form No / <br /> y�9 ANALYSES A-7. 9 7 of <br /> Protect No Sampler(S e) yp/�r�G �'�'•T <br /> Project Location ion Q <br /> _= o <br /> Sam le NoAdentlflcation Date Time Lab No a z REMARKS <br /> Relinqui y (Sig ure/Affiliation) Date Time Received by (Signature/Afldialion) Date Time <br /> /Ysa fasv <br /> nquished by (Sign re/Affiliation) Date Time Received by (SignaturetAfliliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time ived by (Signature/Affiliation) Date Time <br /> �C <br /> Report To Hip tq ULTRAM#A INC <br /> 525 West Third Street <br /> 2�... .�virca.✓�cec�� c Hanford, CA 93239 <br /> Attention ,{� ^��' <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32°0°3`M <br />