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Ultramar Inc. BEAN <br /> CHAIN OF CUSTODY REPORT <br /> sea=Stadon Nb. Sampler[P9rint Namey No <br /> ANALYSES <br /> ANALYSES0 ' �3 S of <br /> ,B o• y� c � c. .�' Awn 4 P-y 1-71-r <br /> Pr+oyd NO. Sampler(Signature) <br /> kc has tau Tey <br /> �� 4 <br /> k"e <br /> Sam NoMer0cation Date Time Lab No. REMARKS <br /> 1f,q <br /> -3 lA <br /> -3 A/ ?orf -f -!r Y,„2 � <br /> Relinquished by:(SignaturelAttiliatlon) Date Time Received by:(SignamrelAffiiiatinn Date Time <br /> 1.2 <br /> Refinquish by:(SignaturelAffiliation) Date Time Receiv6d by:(Sign re/Afiliaton) Date Time <br /> Deli uished bar:( mcgu Affiliation) Date Time Rec�eked by: re'AViliati D e Time <br /> ReportTo: ill to: ULTRAMAR INC. <br /> M West Thirst Street <br /> 11NG Hanford.CA 9=0 <br /> Anorniort:_ <br /> WHIiTE: Retum to Client with Repast YELLOW:Laboratory Copy PINK:DrVmatorCopy <br />