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UItrarflrwtr Inc. aEX.41M <br /> CHAIN OF CUSTODY REPORT <br /> tlltramar <br /> Beacon Station No. Beacon 513 Sampler (Print Name) Date Form No. <br /> ANALYSES J 1 of_ <br /> Hal Hansen <br /> Project No. 94-513-01 Sampler(Si natur ) W <br /> CD � TA <br /> Project Location Affiliation oulos Environmental o <br /> Lodi (j 0 � <br /> X 0 <br /> o <br /> Sample No./Identification Date Time Lab No. m H a- REMARKS <br /> MW-1 r�_ _ 0 13097-01 z <br /> MW-2 /Z 13097-02 <br /> MW-3 �� D 13097-03 Z <br /> 13097- <br /> 13097- <br /> 1309 7- <br /> 13097- <br /> 13097- <br /> Relinquished by: Signature/Affiliation) Dae Time Received :(Si r i1 o Date Time <br /> R ga �r(Signa <br /> 'gnat Date Ti�c/ Recei i ha urelAffiliatio Date Time <br /> dr:it ion} Date Time Received by: (Signatur iliati } at Time <br /> /Ze <br /> Report To: Dale van Dam Bill To: Ultr r �rj1i, ,! 117, <br /> El Dorado Environmental 525 W. 3rd Street �� ' <br /> ,� <br /> 2221 Goldorado Trail <br /> Hanford, CA 93230 <br /> 41 <br /> El Dorado, CA 95623v- <br /> Attention: Kenneth Earnest <br />