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Ulfranle Inc. BEAC&I <br /> CHAIN OF CUSTODY REPORT <br /> unremar <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> ANALYSES - L of <br /> 14 Ha <br /> Project No n S Sampler(Signature) <br /> S <br /> Project Location �.r fiAffiliation <br /> W 2 Z O <br /> Sample No/Identification Date Time Lab No m � H z REMARKS <br /> Vv' C-til S J 11.�9�a� larzs 9 <br /> W'4--2, <br /> V V V- <br /> oo ! <br /> - - '7 / /0 <br /> ✓ V W-t40 114 <br /> [ <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Receiv by (Signature/Affiliation) Date Time <br /> i <br /> Relinquished by (Signature/Affiliation) Date Time R d by igna a Date Time <br /> Report To !1 v UL I <br /> "t 525 West Third Stre Ft <br /> Hanford, CA230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32 Bb031H0 <br />