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Mir M M M M M M M M M M M = 4r I• <br /> Ufframar Inc. /d � !� 6f BEACON <br /> CHAIN OF CUSTODY REPORT 7 <br /> Beacon Station No Sampler(Pant Name) Date Form No <br /> ANALYSES 9—t 7 97 of / <br /> Project No S mpler( nature) <br /> I 1. � 3 N z¢ - h �r✓ ; <br /> 6� C <br /> Project Location Affil n E �, <br /> &4-tin <br /> �� ° �' o <br /> a� <br /> CA t rr G, X a,-6 _ <br /> w = = 0 <br /> Sample NoJldentificatan Date Time Lab No MVV z REMARK <br /> / .r G — 7— / 17100 { Ca <br /> I i <br /> Rell ursh by (Signat Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> r <br /> atTimReceived(S aturelA �aton) �gnatur � at� n)Relinquished Vle Time <br /> Relinquished by (Signature/Affihati ) Date Time Received by (Signature/Affiliation) Date Time <br /> U / <br /> eport To uu Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> ,A)c Attention /wz. <br /> WHITF Return to Client with Report YFl I OW I ahoratory Copy PINK Orininator Corw <br />