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rr r■ � r <br /> Ulframar Inc. BEAC€I N <br /> ' CHAIN OF CUSTODY REPORT <br /> UJIFamar <br /> Beacon Station No Sampler(Print Name) T Form No <br /> ANALYSES of 7 <br /> Project No Sampler Si alure) <br /> �0-13 - qIS' .�-• <br /> Project Loc do Afld tion <br /> �o� G�ie�ve �� <br /> —1-44 - - 7�c <br /> w =CL = ° <br /> Sample No/identification Date Time Lab No n _ Z REMARKS <br /> 2-5-q , - 95 <br /> -- 2 7 DS -XK- X <br /> f l 14- 6 --- 035 <br /> ,56- --- -- I ---- - <br /> Relinqui hed by (Signal a/Alliliation) Dale Time rReivedby (Sign tore/Altdi tion) Dale Time <br /> - - �_a <br /> �} quis ed by (S n ural t ilia I ) D le Time Received ignatur I r ren Date Time <br /> rIt-DI <br /> J i <br /> Relinquis y (Sr��/ lur fill I Date Time <br /> Re we ( ign urel I atio Time <br /> Re rt o L Bill to ULTR AR INC <br /> C01/1? 525 est Third Street <br /> �� t/js'b1�1/Yl Hanford, CA 93230 <br /> Attention i7 <br /> 3280031N0 <br /> WHITE' RnItirn to ( tenni sa+++h Ponort YFI I nW I ahnratnry (inn%) PINK nnnmatnr Copy <br />