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ulfram nc. BEAC& <br /> CHAIN OF CUSTODY REPORT • <br /> unramar <br /> Beacon Station No Sampler(Print Name) ANALYSES /a.,ate from No <br /> 1* a �v <br /> Project No Sampler(Signature) <br /> Project Location AffiliationE co <br /> o E <br /> n o U <br /> MV x Wo o <br /> u.t2 = <br /> Sample No/Identification Date Time Lab No m a z REMARKS <br /> W I - <br /> 6 <br /> jL 66 z o0 <br /> v 76' �- t,..s <br /> 15 7 V <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> I <br /> Relinquished by (Signature/Affiliation) Date Time Rec ed (Sig �re/AZffiliatton) Date Time <br /> 7 <br /> Report To M VJ Bill to ULTRAMAR I <br /> w,w525 West Third NeAt <br /> Hanford, CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 3260o51Nd <br />