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z <br /> UMAIN UV L:Ub I UUY HL:HUH I <br /> Sampler{Print Name) Dale �rff <br /> Beacon Station No. ANALYSES �—a _�— <br />'j _ <br /> Project No. Sampler(Signature) <br /> d <br /> Project Loc tion Affiliation o cn <br /> EriVI `- o <br /> OR ID)' - Date Time Lab No. WEMz <br /> Sam 1e No./ldentificaiion REMARKS <br /> ' <br /> UJ �� <br /> Time <br /> Relinquished by:(Sign ature/Affiliatiolt) Date Time Received by:(Signature/Affiliation) <br /> Date <br /> lb rad <br /> Relinquished by:(Signature/Affiliatio ) Date Time ed b :(Signe re/Affiliation) <br /> Date Time <br /> ft(S <br /> a e Time <br /> Re1in fishenatarelARi[iation) Date Time Received by Sign ature/Affillation) <br /> Report To: R l�V- Bili ta: 526 W st T INC. <br /> i C'' ��C L.�QY1 5a5 West Third Street <br /> krc)n, Cdns- Hanford,CA 93234 <br /> QqI L- 636- ;LO8 6 Attention: <br /> r-A xaeoei,aa <br /> WHITE:Return to Client with Report YELLOW:Laboratory Copy PINK:Originator Copy <br />