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on <br /> mar Inc. &A00 N <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No. ANALYSES Sampler(Print Name) I o ID 27t 4 Form 26 <br /> q marrJ� Soc.�vP�vl?it, s <br /> of <br /> 0 <br /> Project No. Sa r( ign ure) <br /> 1211 <br /> Protect Location qw,t�„�,�,,. Lam, Affiliation C 1 J T <br /> cS�C401 h a �.tt���arhi q Airiz&m Lhvrl'C1+�r►�P.& T4E 1nG, <br /> x o <br /> Samgft NoJidentiliication Date Time Lab No ° REMARKS <br /> 525—A4\4 <br /> eO 530— M\4 <br /> 535-M4 -1 l <br /> Sya - M%j4 -to ! <br /> 5q5-Mkl4 - 2E R <br /> 550 - MW4 _ �2 <br /> 5�5-Mw6 - 23 ! <br /> 55 - M X17 <br /> Rel�h by'(Signature/ fail ion) Date Time Received by (Signature/Affiliation) Date Time <br /> r �r ZO•v� <br /> Relinquished by (Signature/Affiliation) Date Time Received by.(Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Re"nwedbyL ature/Affiliation) Date Time <br /> 14 <br /> Report To BiMAR INC <br /> 525 West Third Street <br /> �y Hanford, CA 3230 , <br /> / Attention e- � r <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy � <br />