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Wtl unar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> Station No qSamplw0 <br /> mpler(Print Name) <br />' �� C�5 ANALYSES � Z � E IM of N <br /> do � <br /> Project Na (S re) <br />� 1°105 <br /> L4 <br /> /1- <br /> a� <br /> Project I-OcaMn E 5p.SMak4-T Afftliabon e <br /> X oo a <br /> �3�� S NoJlderttificatan date Time Lab No z <br /> REMARKS <br /> `t j Z I ow i3 X y <br /> I ' <br /> fZ i `1ILL)GIV 15. 3 <br /> Relinquished by (S ure/Atfiliatbn) Dais Time Recenredby re! <br /> Date Tune <br /> qzi1 ice. A <br /> Rel�rqu Date Time y gn <br /> /' ate Tune <br /> R u b naiure/A I Date Time Recery Signatur A ibation) Date Time <br /> Repon To Bill 10 ULTRAMAR INC <br /> �!s� ��"'!'�� 525 West Third Street R i;r F <br /> AMV 1 NG, Hanford,CA 93230 j�. I b. <br /> Attention <br /> . .0 <br /> WHITE Return to Cfrent with Re <br /> port YELLOW Laboratory Copy PINK Ongrnator Copy <br /> S i Or—el r t !i M k <br />