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i <br /> MrA. r Inc. Bet©N <br /> CHAIN OF CUSTODY REPORT <br /> unra nar <br /> Beacon Station No. Sampler(Print Name) Date Form No. <br /> �j C�� ANALYSES 7-+,-Y¢ / of <br /> Project No. Sampler(Signature) <br /> m � <br /> Project LocatignAffiliation m <br /> S t o c k/o.7 C'iA f�fl1✓ lrJ c ca v _v <br /> 17�YO <br /> W Z 2 <br /> Sample No./Identification Date Time Lab No. m z I REMARKS <br /> 7-6 -94 09/O <br /> k 3 90y„/ VQY5, IeL Pry✓. <br /> Relinquished by: (Signature/Af 'liation) Date Time Received by: (Signature/Affiliation) Date Time <br /> l `lct�r� /z ' G? //1/�'!j I.�c J�-`Ig 1445 �`l(/�`HN t!1 � <br /> Relinquished by: (Signature/Af�iiiation) Date Time Received by: Signature/Affiliation) Date Time <br /> --------------- <br /> 4 <br /> Relinquished : (Sig nature/Alf ilial ion) Dale Time Receive y: Signature/Affiliation) Date Time <br /> 7 S" <br /> Report To: r Bill to: LTRAMAR INC. <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> �rf7� rf?C- Attention: /'. <br /> WHITE: Return to Client with Report YELLOW: Laboratory Copy PINK: Originator Copy soa iroo <br />