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ultr ar Inc. BINCON <br /> CHAIN OF CUSTODY REPORT <br /> unramw <br /> Sampler Print Name T!Del Form No, <br /> Beacon Station No p ( ANALYSES " of <br /> v01"t6wL--A- EFfe-,V- t4617A,/ 7 <br /> Project No Sampler SE alures <br /> Z04 <br /> Protect Location �j / Affil lion — w <br /> [l�%11 <br /> caU <br /> w T- <br /> i-- T <br /> _Sample No lldenblicalion Date Time Lab No � 1- ° <br /> zREMARKS <br /> 147 <br /> u <br /> 0 - <br /> D le Time Re eived b Si nal gelAililial on) Time <br /> Relinqu shed by (Signatur lAllilialion) Y� ( Dale <br /> , <br /> k � 1 <br /> d by ( ig alt rel (ilia on) <br /> Dale Time Recei d y, ignatu Ylil a fv~9 Dale Time <br /> Rel qui h <br /> _ D to Time <br /> Relin ui t d b �gn tur 1 It Date lime Red ived 'y ( ign f el lialion} , <br /> ri / ` Rill to LTRAMAR INC <br /> epo <br /> 6L 525 West Third Street <br /> Hanford, CA 93234 -- <br /> Attention <br /> iz-IM <br /> Wl tITP Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy <br />