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"19r"M06429 rrri.. <br /> / CHAIN OF CU§DDY REPORT <br /> Beacon Station No. Sam ler Print Name) Date Form No.&9(P Z <br /> { �,• ( .NI ANALYSES ILL 0 2- <br /> Project No. Sampl <br /> N cis—bu <br /> Project Location Afliliati -- `� <br /> o N c �, <br /> wan <br /> Sample.-NoIldentilicallon Date Time Lab No. m z REMARKS <br /> ReI4 i had by: (Signalurel (filiation D to Time Received' (�9' alt I/jY(ili ia ) �' Data Time <br /> - , ,,� <br /> Relinquishe b u iii ig -• _. Date Time R e' a y. ( . r fllial(on Date Time <br /> V( ignReuuts IJ atureA atTime Receivedalu illation} Date Time <br /> Report To: n Bill to: ULTRAMAR INC. <br /> 525 West Third Street j <br /> Hanford, CA 323�0 I (► <br /> Attention: <br /> WHITE: Return to Client with Report YELLOW: Laboratory Copy PINK: Originator Copy 32 o a lig° <br /> i <br />