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Iunratar Inc, <br /> � " <br /> Unrarnar <br /> CHAIN OF CUSTODY REPORT BEACON <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> 7 --/0—41 /1 rQ v,/ ^ ANALYSES 7-7— 7,Y S of 7 <br /> Project No Sampler (Signature) �J <br /> Project Location AffiliationCU <br /> = <br /> S o (n 0 <br /> WX :E o <br /> Sample NoMentification Date Time Lab No m ra- z REMARKS <br /> UJ2 r C� <br /> M w Z r FS <br /> M IAJ S <br /> MW r � 0 <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Afliliation) Date Time <br /> -7-7-� r ; Is P,, ��CN IY Cr v( qt /J �J <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> MA dkA�d( '171�y 1io <br /> Relinquish by (Signature/Affiliation) Date Time Reiv by (Si nature/Affiliation) Date Time <br /> / � <br /> Report To a �G/ Dr4 w M V Bill eV <br /> ULTRAMAR INC <br /> l O 525 West Third Street <br /> /a r � �9�6� 3 -7f- 7 D Hanford, CA 93230 <br /> Attention . .S <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32 OD03 IM <br />