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Ultrawr Inc. BE fVN <br /> CHAIN OF CU ODY REPORT <br /> U»ramar <br /> i <br /> Beacon Station No. / Sampler Pri t Na e) ANALYSES Dao F�rom N,. <br /> �7 C7K�/cr <br /> Project No. Sampler tura) <br /> Project Loc tionVIL <br /> Af4filia ion <br /> Zd <br /> oU <br /> /d% <br /> X O <br /> Sample NoAdentification Date Time Lab No. m a a_ z REMARKS <br /> Relinquish by: S' nature/Affilia!' D to Time Received by: (Signature/Alfilialion) Date Time <br /> 4 <br /> Relinquished by: (Signal ure/Affil iat ion) Date Time Received by: (Signature/Affiliation) f��___.___. Date_.Time <br /> f <br /> Relinquished by: (Signature/Affiliation) Date Time Received by: rc Ka__-a/Afill!atlon) di Time <br /> Report To: Bill to: TRAMAR INC. <br /> Pe—(I* 525 West Third Street <br /> 3�3� ba. f �u��° o o Hanford, CA 93 30 <br /> Attention: �— <br /> �awa. <br /> WHITE: Return to Client with Report YELLOW:Laboratory Copy PINK. Originator Copy <br /> I <br />