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Ufframar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> utramar <br /> Beacon Station No Sampler(Print ame) Date Form No <br /> r / _ - ANALYSES �'" /� 7 of <br /> Ir 4Project No Sapfei nature) <br /> 1f19. ti 2-4 her T� <br /> Project Location A/ffiliationCA <br /> BTU ca 0 <br /> o (A � <br /> A <br /> Sample NoAdentification Date Time Lab No REMARKS <br /> '-CN F - 97 0 715 0( X <br /> i <br /> I ngws by ( natur tfi i ion) Date Time Received by (Slgnature/Affilialion] Date Time <br /> ��'� 0 0C I1,l <br /> el uished by ignature/Affihation) Date Time Ra4 iia ion e <br /> Re r wished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> sport T 6Bill ULTRAMA C <br /> Q'i'�J 4.✓,�.P/ r 13�L 525 West Third Street <br /> F4x 7��0// 93 S —7�/7�— Hanford, CA 93230 <br /> Attention@ <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32°003140 <br />