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�i UnXTODY <br /> or Inc. BEA& <br /> CHAIN OF REPORT <br /> Beacon Station No. Sampler(Print Name) Data J F,,pprm No. <br /> ANALYSES �--w - Vof <br />� Y �,7 Y A9 R +I <br /> Project No. Sample at re) LO <br /> Affiliat <br /> Project Location " - to <br /> � � c <br /> Sroc � r �� <br /> Sam le NoAdentification Date Time Lab No. m Z. <br /> ° REMARKS <br /> L/ w - / f 2-/Q <br /> L/ kl/ <br /> Relinq ' h y: (Si re/Affiliation) Date Time Received by:(Signature/Affiliation) Date Time <br /> �gn ure/Afiiliation) Date Time Received by: (Signaturelq�iliatior�-� ---� ate Time <br /> Relinquished by:(Signature/Affiliation) Date Time Receive_d,by:(Signature/Affiliation) j Date Time <br /> Report To: <br /> o Bill to: ULTRAMAR INC. 1 <br /> 'I <br /> 525 West Third Street <br /> Hanford. CA 93230 <br /> Attention: <br /> "'0071°° <br /> WHITE: Return to Client with Report YELLOW: Laboratory Copy PINK:Originator Copy <br /> I <br /> 1. <br />