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4 <br /> r Ultramar Inc. BEACON <br /> r CHAIN OF CUSTODY REPORT <br /> Beacon Station No Sampler(Punt Name) <br /> Date Farm No r <br /> � rl��. ANALYSES L- j of <br /> Project No Sampl ignature) <br /> Project Location n c <br /> iliation c <br /> Spc��J � Gf �r2c►�J �v���rZ✓,w.;�v.-�z-f' CU a) o <br /> K M-o <br /> -Sample Noildentificatron Date Time Lab No m a z REMARKS <br /> i <br /> t <br /> Reli i ed by nate, anon) Date Time Received by (Sig ur Affiliation) Xte Time <br /> q� <br /> el quished by Sr re/Affiliation) lrza <br /> Date Time Receiv b <br /> r y ( na ure/Affiliation Date Time <br /> 1 zSo <br /> Relir- "filiation) Date Time Received by (Signature/Affiliation) Date Time <br /> Report To <br />� Bili to ULTRAMAR I <br /> 525 West Thir S eet <br /> rho%lLc .vv✓.�zi1,.J,_ Hanford, CA 93230 <br /> 154;4- 5716 --75 --z i 7� Attention ir✓�v f,,/ �,v .!i <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy <br /> 32 8003 1190 <br />