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UWamar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No Sampler(Pnnt Name) Date Form No <br /> ANALYSES �� 9S of <br /> O � P <br /> Project No Sampler(Signature) <br /> Project Location 3 a Dd � >7-' Afjfliat�an 2 c <br /> to No lldentiFiuten Date Tune Lab No m co <br /> r r z REMARKS <br /> �ti .w ti W <br /> 730 <br /> 1 <br /> L-L I <br /> Rehngwshedby (SignalUMIAMlratiort) Date Time Recewedby (S,gnaturelAf-iliation) Date Time <br /> -, �jj��� Aa,4�� e ?-If 4-w? 4- /LA)F—�-r 2-1-is ?S: Y() <br /> Rehnqurshed by (Signature(Aflilration) Date Time Recewed by (Sgrt turelAtihatw) Date Time <br /> ReGnq hed by (S uref ffiliatron) date Time Rece (5gn= Date Time <br /> Report Tor / Bill to V ULTRAMAR INC <br /> 525 West Third St reet � <br /> Hanford.CA 93230 E <br /> Attentm <br /> WHITE return to Ghent with Report YI=CLOW Laboratory Gopy PINK OngmalorCopy <br />