Laserfiche WebLink
Ultramar Inc. BEACON ' <br /> CHAIN OF CUSTODY REPORT <br /> unremar <br /> Beacon Station No. Sampler(Print Name) Date Form No. <br /> ANALYSES of / <br /> 06 <br /> Project No. Sampler(Signature) <br /> X19 T <br /> Project Location ajA,-y Affiliation NN _Eo <br /> CU <br /> wz2 <br /> Sample NoAdentification Date Time Lab No. m a CL z REMARKS <br /> r <br /> vi-'.2 <br /> NI vi .1 <br /> 15.E l) <br /> Mv� - 36 <br /> data <br /> r <br /> Relinquished by: (Signature/Affiliation) Dater Time Rec ' : ( a �11i _o ! Date Time <br /> Relinquished by: (Signature/Affiliation) Date Time e d y. tur <br /> ignae/ ate Time <br /> a <br /> Relin s y: e/ ti Date Time Received a Z4K <br /> iation) Eme <br /> 1 i� <br /> R vou <br /> ill to: ULTRAM <br /> ( e 525 West Third Street <br /> 77 Hanford, CA 93 30 <br /> Attention: <br /> WHITE: Return to Client with Report YELLOW: Laboratory Copy PINK: Originator Copy 32d00340 <br />