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Ultraftr Inc. <br /> Munivinw <br /> CHAIN OF CUSTODY REPORT BEA ®N <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> V r 9 -r6 41 *D W n ANALYSES 7- 7— 9 1 of <br /> Project No Sampler (Signature) F EIVED <br /> f�U II, DAT 0 Ei��E <br /> m TEMr) a <br /> Project Location Affiliation =_ _ G <br /> ,/ IN)I IAL_ <br /> 14- C/t �o n /`i V t A c a 0 WEST Lk[3 <br /> W-- <br /> xo <br /> Sample Noildentification ate Time Lab No m � z° REMARKS <br /> K71- <br /> M uJ i - 7O -r <br /> Nt w l -- 7 0 <br /> IM <br /> CoM o Sr - <br /> S + P <br /> M tk/ 3 _ S <br /> Mw 3 - 10y <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Alni <br /> Relinquished by (Signature/Affiliation) a Time Received b (Signature/Affiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Receiv y ignatur tfiliation) i <br /> Report To JJ at,a -'J n 1�v-i v Bill to ULTRAMAR INC <br /> 1- 525 West Third Street <br /> ra X = ('7/6 9 :3 - 7S 7 t7 Hanford, CA 93230 <br /> Attention J S+ephenSan <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32600),90 <br />