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' Ultramar Inc. <br /> CHAIN OF CUSTODY REPORT BEACON <br /> Beacon Station No Sampler(Print Name) <br /> ANALYSES Z�� qQ 2_ of No <br /> Project No Sample Z((Snal e) <br /> 40 -��- qrs <br /> Pro ec Loc do m °3 <br /> l �joa �G.c..,�Ec< lr...� Affi/i/atcan c_ <br /> �(I / � U<y1 <br /> /n///. C <br /> LJ41 CA G k11lrO .a�,��, tpc• 4-. I' XIC !u O <br /> 0 <br /> W = _ o <br /> Sample No/Identification Date TimeLab No m CL Fa -- Q- <br /> 5'c? z REMARKS <br /> Sa S� f3 has a —` - <br /> 5�Svc - <br /> 3 <br /> vL <br /> Rehnquish50 by Signat /Affiliation <br /> Dale Time Re eived by (Signature/Alfil�alion) Date Time <br /> A inquished by (Sian lure/Affiliation <br /> Date Time Received by (Signature/A(filiation) Date Time <br /> Relinquished by (Signature/Affilialion) Date Time Received by (S re/Aff lialE <br /> Ppf �..._ Time <br /> Rea /� %� � I�Y <br /> CI To CAI-4l7I- czei 4K Bill to , 11LTRAMA I C ` /l�C <br /> dI} //[ 1 } /J / 1 525 West Third Streell- <br /> (/C1� �!✓�V�,.�.Lwl�l! LIL�iu�rsn�J�IIAG� <br /> ?;yo A':'k "00 Hanford, CA 9 230 <br /> C'A 1?5-64U Attention <br />