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urtramer Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> �n##r <br /> Beacon Station No. Sampler(Print Name) �e 33 Form No. <br /> �7y ANALYSES 1a�' CR of <br /> of �u 4 Ac7 1-#7- <br /> Project No. /fob,or Sampler(Signature) . <br /> ,4&4 yq h GC R.s <br /> Pro Lgcatiorl iatian -� seG r ! <br /> x `-� o we6f� <br /> S la Nolldentiticatbn Date Time Lab No. m �LU <br /> Z REMARK <br /> A00, go <br /> 4 M1108 <br /> r - lAI- 70` J Idt-1.1-13 l496 <br /> 7S r ;?13-93 MI/O <br /> 80' 1.2/3"23 to <br /> Relinquished by:(S%WurelA#'iliation) Date Time Received by:(Signature/Affiliation) Date Time <br /> Rdinquisihed by:(SignaturelAtLrliabon) Date Time Receiv by:(Signatur Affili Date Time <br /> .4 14/Es r left fo L.T=47 <br /> Re ish Date Time Reoeiv, ure/Affilia' Dat Time <br /> Report To: MI to: ULTRAMAR INC. <br /> G <br /> 525 West Thlyd Street <br /> H tendo CA9�3230� Al .57�, pW <br /> WHITE:Return to Client with Report YELLOW:Laboratory Copy RINK:Originator Copy �'0m100 <br />