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Ultramar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT 1j`] <br /> Vli.n�.r <br /> Beacon Station No. Sampler(Print Name) DateForm No <br /> f 9 <br /> ANALYSES9-7T-,�fi of 3 <br /> Protect No. Sa er(S ure) <br /> iatro � � � ►; G <br /> 14 <br /> = o <br /> , <br /> Sa NoAdentiiication Date Time Lab No z° REMARKS <br /> i <br /> S - I ! - 5067 ori � <br /> S - Jlo -- 5B �, <br /> s - z - 5 .B n-9 26 i <br /> S � 3 - 5B of-36 <br /> Reli W y:(Sign r Affiliation) Date Time Received by (SignaturelAffiliation) Date Time <br /> frelinquihedignature/Affiliabon) Date,, Time Received by (SignaturelA_MJwhan)_---.------- �_____ _Date Time <br /> Relinquished by.(SignaturelAffiliation) Date Time Rec Ned y (Sig ature/Affiliation) Date Time <br /> r <br /> hk <br /> Report To. B to ULTRAMAR INC West <br /> Third Street <br /> Hanford,CA 93230 <br /> Attention' Z <br /> &,, <br /> -.939 - Z172- <br /> __ vowo rr nnhirn in riinni with Prknort Yri i nW t ihnrainry ronv PINK nnninator ronv 32SMIM <br />