Laserfiche WebLink
1Jframar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> Beaoon Station No Sampler(Pnrd Name) ©ate l"orrn roto <br /> ANALYSES <br /> Erb �� <br /> Pmpa Nci Sampler(Signature) <br /> X4 . 6 a- a <br /> Pncect Location 3 00 'Y Affiliation TA r <br /> yrW 'A N Q <br /> v � <br /> CL <br /> Sample NaJidentrficatan Date Time Lab fVo 1 2 REMARKS <br /> 1 � <br /> 1S0 <br /> Relinquished by (Signature/Affiliation) Date Time Recerved ,gnat Affiliation) Date Time <br /> iallt-e-,4 <br /> �Relinquishedby (SrgnaturelAffil,ation) Time +ved by naturelAfGliat,on? D e Time <br /> Relinquished uroAffil D e Time ecervqg by ISgnature/Af ilia ion) D e Time <br /> Report To ,ll to uLTRAMAR INC <br /> 525 West Third Street <br /> Hanford,CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINI( Ong,nator Copy <br />