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s <br /> Amar Inc. 1, <br /> CO B F <br /> CHAIN OF CUSTODY REPORT <br /> ulrMrMr <br /> o6 <br /> Beacon Station No Sampler(Print Name) Date F rm No <br /> L4 I Cr ANALYSES I l-JO-7-1 c of �- <br /> Project No Sampler(Signature) � � <br /> Cl <br /> Project Location AffiliationMCI <br /> c �a <br /> �j yyL� N C <br /> O <br /> Lu <br /> Sample NoAdentdicaWn Date Tim ~ a O <br /> e Lab No z REMARKS <br /> Mw, <br /> M VY,7 <br /> Relinquished by (Signature/Affiliation) Date Time I Received by (Signature/Affiliation) Date Time <br /> Relinquish by (Signature/Affiliation) Datfi Time Received by (Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) _ Date Time Received by (Ssgnature/Affdiation) Date Time <br /> f <br /> r"z 1 t <br /> Report To f <br /> I� Bill to AR INC <br /> 525 Wes <br /> 525 West Third Street <br /> Hanford,CA 93230 <br /> Attention r� "-, I <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy �� "� <br />