Laserfiche WebLink
unMnar Inc. BEWN <br /> CHAIN OF Cf3STODY REPORT <br /> Beacon Station No Sampler(Print Name) f Date Firm No <br /> ANAL ES <br /> Z �lL� of <br /> Project No Sampler(Signa ur J ti <br /> 12Project Location Aftilihon <br /> CIL Mo <br /> w = = <br /> Sample No/Identification Date Time Lab No m z° REMARKS <br /> Relinquished by (S�nature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Re inquished by (Signature/Affiliation) Date Time Received by (Sign rel ffilialion) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Report To Bill to ULTRAMAR INC <br /> y �) 525 West Third Street <br /> �1t i �'/� c,f- n XS r Hanford, CA 932x`0 <br /> Attention �JU C- <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 7280031M <br />