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ulkamlar Inc, BEACON <br /> ur CHAIN OF CUSTODY REPORT <br /> Bow St#bn No. Sampter(Print Name) Date Form No. , <br /> f - ANALYSES of <br /> � 4 �1 q �-44 r`( <br /> Pro)ecd No. Sampler(Signature) <br /> I �raaS QST �. d IrT <br /> Project LwAbn Aifdiatian <br /> AqyCL <br /> b NoMentil ation Date Time Lab No. o REMARKS <br /> l a 5o <br /> t ca <br /> so <br /> Lf <br /> w— jpf u0 <br /> T <br /> a� <br /> Relinquished by:(Signa Affiliation) Date Time Received by:(Sigrature/Aftiiiaition) Date Time <br /> Reiinwisned b :(Sig reJAf1illalfon) Date Time Recei ed by:(ft aturelAtriiiation) Date rime <br /> Relinqui ed by:(Sig ure/Affiliaticin) Date Time ' ed by: S'naturefAffiliation) Date Time <br /> l�L <br /> IIit � <br /> Report To: it Io: ULTRARAR INC. <br /> 525 West Third Street <br /> Hanford,CA 93230 <br /> Attention: I <br /> WHITE:Return b Client whh Report YELLOW:Laboratory Copy PINK,Originator Copy t� <br />