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uitramar Inc. BEACON <br /> i CHAIN OF CUSTODY REPORT <br /> unramar <br /> Jbb L <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> ANALYSES 911 g ' of <br /> Project No Sampler(Signature) <br /> Project Location Affiliation 900 <br /> 0 ro <br /> m <br /> w = = <br /> Sample No/Identification Date Time Lab No m 1L � z REMARKS <br /> jA 79 Z 6)Iw z0 1 L <br /> Mw zlw' I 5DI IS � <br /> UJIq <br /> )1220 <br /> Relinqui hed by (Sign illation) patp Time a iv {Sig aturelAffiliation) Date Time <br /> tutca I <br /> elinqu h b (Sig aturelAffiliat n) Date Timb eceived b ignatu�e/ ti n) Date Time <br /> � ,2 �02 <br /> Relrny (Satur in) to Time Receivedby (SignatureMhation) � 9D,ate' Time <br /> S ;1 d <br /> Report To <br /> ��� �• �� Bill t ULTRAMAR I <br /> 353 C7 525 West Third Street <br /> /2M" <br /> C'M—dovo i l'c" Hanford, CA 93230 <br /> �' 9 C(0 Z 0 Attention <br /> ^ <br /> /'' f11� / rin�n^r,r r`-,r i <br /> 'All 11-r- [�^1t iTn in (11,nr1t s �1, h�.y,- � �/r11 <br /> l I / FI I ,hnr"R'' n 328003190 <br />