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Ultramar Inc. ���� <br /> hilownw <br /> BEACON <br /> 0 <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No. Sampler(Pant Name) T�,� c ; Data Form No <br /> ANALYSES - -` -31 of <br /> Protect No C/ 7 Samp ( u `U <br /> I Z <br /> Protect Location Wiatioh ' n <br /> cyyV u; 9tE rrLir-A IAM Aegis Environmental H o Please <br /> M 22 use Tri-Regional <br /> odetection limits <br /> Sam le Noildentificatcon Date Time Lab No m� r— z° REMARKS <br /> Lj_1 7� Ax k <br /> _MT17-- f=tt— I I - 'ell <br /> 11 71 <br /> M k-k. — AL1, <br /> ` J <br /> III F <br /> L � <br /> 2-t-9 <br /> hngw ed (Sig a1 ffiha ) D�te Time Receiy (Signature/Affiliation) Date Time <br /> 4.4 1-4 x, <br /> R quis ed igna Affiliation) Dale Time eceivedy ignatu iliation) Date Time <br /> 714 V J, <br /> c / �- , _ <br /> Relinquished (Signat /Affiliation) ate Tim eceived (Signa% re/Affi ration) lialk Time <br /> Report To ('110 7%1-Zeit) Bill to ULTRAMAR INC <br /> Sheila Richgels <br /> Aegis Environmental r'� ���� 7�$ {' 525 West Third Sireet <br /> C Hanford, CA 93230 _ <br /> 1050 Melody Lane, Ste 160 Attention Ili-ry r.i i r1 E tff 24&i , <br /> Roseville, CA 95678 <br /> WHIT7 G, 1 A in to Client ith Y 1-1-0 Lafbora% Copy P�� /�riginator Copy ��} r��(' Y 0k(4 1 111( <br /> I <br />