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' � ■� � ■w � ■w ww w w wllllllllll>�E ,mowwCHAIN OF CIrOY REPORT <br /> t... Beacon Station No. Sampler(Print Name) Date E rm No. <br /> .. J /1 ANALYSES 3-��3 r of .2 <br /> Project No. Sampler(Signature) y rpI' <br /> :. <br /> Project Location Affiliation <br /> j 0 -- 4 tt' OV VU -T <br /> Prov>•ha y c,u t^r� <br /> En <br /> 0 <br /> W <br /> � <br /> r- aa. _ w o'.. <br /> Sample Noildentitication Date Time Lab No. m �- ( z • REMARKS <br /> MIM <br /> WY1 <br /> 1111 M, 11 <br /> Al <br /> Tt- <br /> it {{ <br /> rf fJ/ <br /> 1 }r <br /> Relinquished by: (Signature/Affiliation) Date Time Received by: (Signature/Affilia(ion) Date r Time <br /> Relinquished by:(Signature/Affiliation) date Time Received by1 (Signature/Affiliation) Dale Time <br /> l Date Time Received b (Si nal rel (liati nRelin <br /> Relinquished bY (Si nature/Allilialion) <br /> ale Time <br /> Report To: I Bill to: 1 ULTRAMAR•1NC. <br /> `r 4;:t w �, 525 West Third Street <br /> '= [�t. url fi 1����r. yuh �l� 1�a►vt Hanford, CA 9230 . <br /> ".t } <br /> !:;J <br /> Attention: r FJJ- 1 4 <br /> 7 M 7J- 75- 7 e <br /> WHITE: Return to Client with Report YELLOW: Laboralory Copy PINK: Originalor Copy 320003 IM <br />