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i i t� i r• i <br /> V mar Inc. ON <br /> CHAIN OF CUSTODY REPORT -7442 <br /> uNeam.r <br /> Beacon Station No 1 Sampl r(Pent Name Date Form No <br /> /� ANALYSES 1 of / <br /> l � <br /> Protect No S (Sig M) <br /> LQ <br /> Protect Location 4dniret <br /> ° 7;4--r <br /> .�7-4 de, <br /> Sam le NoAdentrfication Date Time Lab No m a a z REMARKS <br /> W -z3 - Z ' o 1 1 r <br /> /1— In UJ 7 2-13-9 f <br /> i' S k d <br /> 2-15( <br /> 3:bo <br /> e S-3l — Meld 3'oS <br /> 5--3(,, - W 3 111 r <br /> ' f <br /> s - 3` sa Y` ' 0'' <br /> -h►Lv <br /> 3 , 31 <br /> —raw s' r <br /> X- 61 _muJ7 s.3 x <br /> s_ _ lmcd <br /> 4 ,10 x x l - 05 <br /> Relinquish by (Signat Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> I <br /> r, <br /> elrn fished (Signature/Affiliation Time Received by (Signature/Af filiation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Recew by (ySignat AffiIi n) Date Time <br /> Report To / Bill ULTRAMAR INC <br /> yQ✓/��,,,� 525 West Third Street <br /> Hanford, CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy '��OD"A0 <br />