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V mar Inc. Z 3`� BE CON <br /> CHAIN OF CUSTODY REPORT <br /> utr�en.r <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> 1(1 <br /> S Z- ` �- ANALYSES of / <br /> Project No Sa ler(S tura) <br /> /Z- 4� - /V0 or 4-e <br /> Project Location Affdiat m c <br /> --//---� a <br /> ' '19`h yyt G_ X as: <br /> W E 2 O <br /> Sam le NoAdeMification Date Time Lab No m o REMARKS <br /> - yz, - -z.3— o: z <br /> l .S— Yz—M w a-s <br /> zo <br /> .02 <br /> r S-36 —A'7&J 7 <br /> f Sr SO --°3 <br /> S _ <br /> 12,'07 <br /> Z2=V x ,o <br /> l /z 'z5 <br /> Reli uish rby (Signatu (Affiliation) Date Time Received by,(SignaturetA,fdi Date Time <br /> r• <br /> mq shed b S natur i n ffdiation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time ReceDate Time <br /> M061 yLe <br /> Report To ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> 916 a39Z/7Z-- <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy <br />