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tamw .Inc. <br />' �c <br /> CHAIN OF CUSTODY REPORT s ON <br /> Beacon Station No Sampler(Print Name) ANALYSES Io ZT 44 Form f 6 <br /> 4141 AlArk So�.very i ie <br /> Project No. Samp r(Sp ture) <br /> MI. !4 4 � <br /> Project Location 144w. %,w L-aK e, Affiliationq 9Y <br /> Sfeekf6K U,ifhta Nori7ton 6I%V rohw►e4%f0.1 fine-. <br /> Sa No entification Date Time Lab No z REMARKS <br /> 540 - mat _ z� <br /> Sys'-Mktg <br /> S So -M4oJf -q4 <br /> Reb Ished b :(Signature/Af li i } Date Time Received by (Signature/Affiliation) Date Time <br /> orr z oh <br /> Relinquished by:(Signature/Aff bon) Date Time Received by (Signature/Affil!% --- - - Date Time <br /> ti <br /> Relinquished by(Signature/Affiliation) Date Time Recem by Sign elAffihafion) t Time <br /> IA A <br /> Report To: 3111 ULT MAR INC <br /> 525 West Third Street <br /> Hanford, CA Gq230 1 <br /> tT �� Attention. Jot t <br /> WHITE:Return to Client with Report YELLOW Laboratory Copy PINK.Originator Copy <br /> I <br />