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I <br /> V1trear Inc. Ni <br /> CHAIN OF CUSTODY REPORTO <br /> �V <br /> Beacon Station No Sampler(Print Name) Dat Form No <br /> 6-91 `` A N YS/V1��S 1'�5 ' e5 <br /> � 4� 1 AL <br /> Protect No / Sampl i r f'7`fl vt�J/f�fZ_/' <br /> 6:�Ll ! t/1-70— <br /> Project LocationAffiIio <br /> ia n <br /> SrQG � TG � �c�vGo � � c <br /> X —� <br /> Sample NoJldentification Date Time Lab No m pzo tiEMARKS <br /> S -- 6 -6 '00 _'pq <br /> V w <br /> VW - 3 6 :5 <br /> r t l <br /> Vw - 7 -2 - 31 - r <br /> Relinquished by gna re/ ihation) Date Time Received by (Signature/Affiliation) , Date Time <br /> f <br /> poUz �S <br /> RelinquiiKl bf( re/Affihation) Date Time Received by (Signature/Affiliatton) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) vi. Date Time <br /> Report To Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> Attention _ <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy u'°07A0 <br />