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Ultramar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> unra�w <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> CA ANALYSES 3'-a9-q� 1 of <br /> Project No Sampler (Signature) <br /> /Yi7 2 C <br /> Project Location Affiliation <br /> �brwr�l <br /> N N O <br /> 6 C161-6 J7 D i zo -�V.rO"ock? / x �o 0 T�r <br /> ° <br /> Sample No/identification Date Time Lab No m- - z REMARKS <br /> W-os � - m "l 5--)9-94 )011x" ?c a <br /> w •6s a�. rnv-� -?9-yt 1 1S" O x <br /> r/ ,r• <br /> v L', f r, <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> A04Z -4411� 10-s-b z5�-niV. / —/ X-�?Vt /0�0 <br /> Relinquished by (Signature/Affiliation) Date Time Rec ed by (gig n ure/Affiliation) Date Time <br /> OWE>7— 4v /3.36 <br /> Relinquis d by (Sign re/Affdiation) Date Time Received by (Sig nature/Alf ihation) Date Time <br /> 1��,a,,--yn 5W� 330 <br /> Report To a/y g cv- Bill to ULTRAMAR I <br /> 525 West Thir St et <br /> Hanford, CA 93230 <br /> �r6 r�39 " 217 � Attention kenney4 ra�reef� <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 320003190 <br />