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vltranl8 inc. BEAC <br /> CHAIN OF CUSTODY REPORT <br /> umamar t <br /> Beacon Station No Sampler(Print Name) Date PFarm No <br /> ANALYSES 2--of <br /> Protect No Sampler(Signature) <br /> 7- <br /> 1 O 1. <br /> Protect Location z, l Affiliation <br /> S:- aro J� <br /> � a) o <br /> t� o <br /> iW2 � <br /> CL a- <br /> Sam le No/Identification Date Time Lab No m z ° REMARKS <br /> W-3 3..D 1�---q- y i <br /> J n <br /> V w-3-1 )- 1, 0 < 1 <br /> 76 I <br /> Lf50 ] <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Relinquished by (SignaturelAff,fiation) a -T -Received b� (SignaturelAffd,ation <br />� ROnqature/Affiliation) Date Time iv <br /> (Si to ffi Date Time <br /> Report To V o ULTRAM <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> Attention I-IaW Eye le--PO <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 328°°31W <br />