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I <br /> Ultramar Inc. BEACON <br /> 1 <br /> umama. <br /> CHAIN OF CUSTODY REPORT <br /> Beacon StatiionnNo Sam (Print Name) Dat-, Form No <br /> 1 C R� ANALYSES of <br /> Protect No Sa (S n ture) <br /> G � � <br /> Protect Location Aff i ii0f7 <br /> CID 0 <br /> q-5 0 <br /> UJ <br /> Sample Nolldentification Date Time Lab No e1 z REMARKS <br /> 75 <br /> Reiff y Sign re/Affiliation) Dt fid Received by- (S nature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Received by (Signator liation) D t Time <br /> , <br /> Report To ULTRAMAR INC <br /> 525 West Third Street <br /> ' Hanford, CA 93230 <br /> Attention kl, <br /> �z <br /> LC -? ?/6 W I <br /> WHI Return to Client with Report YELLOW Labaratory Copy PINK Originator Copy 32 d003 TM <br />