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Ultramar Inc. BEACON r <br /> CHAIN OF CUSTODY REPORT f/ :3 4 <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> f L J ! ^ ANALYSES -31 I ' of <br /> Project No Sampler(Signature) 124 <br /> � � <br /> Project Location Affiliation N j <br /> c 10 <br /> x <br /> = o <br /> Sample NoMentfcatbn Date Time Lab No a z° REMARKS <br /> MI P1. <br /> - 3- ° � <br /> _.L <br /> 333 o'5 <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affdiaton) Date Time <br /> / 1 <br /> -6�e k�d <br /> Relinquish by (Signature/Affiliation) a e Time Received (Signature/Aifilinon) Date Time <br /> Relinquished by (Signatu Affdia n) Date Time Received by (Signature/Affiliation) Date Time <br /> Uhv <br /> •15 <br /> ReportTo Bill o ULTRAM INC <br /> -42-ot4 - 525 Wes bird Street <br /> Hanford, CA 93230 <br /> Attention C•fit. <br />