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ufframar Inc. BEAC <br /> CHAIN OF CUDDY REPORT <br /> I Zf V-3 <br /> Beacon Station No. Sampler(Print Name) Date Form No. <br /> ANALYSES —30 ! of <br /> Project No. Sample r w <br /> '' 09A,�0412P <br /> 12A <br /> Project Location ;i <br /> 1 Affiliation _ <br /> � o 0 <br /> Sam to Noildentification Date Time Lab No. I lz°I REMARKS <br /> C) r a y <br /> • to <br /> I <br /> 4/1 <br /> w tis <br /> wA T- <br /> � • r � - o� <br /> IJRefinquis i n !filiation) Date Time Received :( ignature/A diation) Date Time <br /> V <br /> R i nature/Affi iation) Date Time Received by:(Signature/Affiliation) Date Time <br /> Relinquished by: (Signature/Affiliation) Date Time Received by:(Signature]Affiliation) Date Time <br /> Report To: q <br /> Bill to: ULTRAMAR INC. <br /> 525 West Third Street <br /> Hanford,CA 93230 r <br /> �r-/' Attention: G } L 2 I Ddb <br /> WHITE. Return to Client with Report YE LOW: Laboratory Copy PINK:Originator Copy a oas�Ao <br />