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r <br /> Vltran* Inc. BEACH <br /> CHAIN OF CUSTODY REPORT <br /> I,Inraener <br /> Beacon Station No Sampler(Print Name) Date Irm No <br /> ANALYSES /c� .'S' 1� of <br /> Project No Sa ler(Signator ) <br /> Project Location ifiation 0 W �C� ' <br /> uJ `a o <br /> Sample No/Identification ate Time Lab No m �� v z REMARKS <br /> Xh <br /> X11 <br /> i <br /> Relinquished by (Signature/Affiliation) DaTime Received by (Signature/Affiliation) Date Time <br /> 7 r <br /> Relin fished by (Signature/ flagon} Date `Time Received by (Signature/Affiliation) Date Time <br /> �.y <br /> (to <br /> � � ) f x-21 rEr`'3� _ <br /> Relinqui ed by (Si nature/Affiliation) Date Time Received by (Stg6ature/Affiliation) Date/ Time <br /> Report To �� )`, L, I --- jj BiiI to LILTRAMAR INC - <br /> I b�1 F I C'() f l/ j 7 t"� r�- 525 West Third Street [ � <br /> Hanford, CA 230 _F <br /> Attention C11 03C1�+1 3 <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 3280031w <br />