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SEOUL,I P &—t..".WOO D Ica, Ulf r Inc. , <br /> BE IV <br /> (G) 3L ,L - 9 LDO CHAIN OF CUSTODY REPORT <br /> Beacon Station No. Sampler(Print Name) Date Form Na. <br /> ANALYSES `f— 7- 4'_�) of <br /> lU ;9 <br /> Project No. Sampler( ignat e) <br /> CI Z- '7 3q c}nc' >r4AJ bA►z'I- <br /> Project Location Affiliation p cc j <br /> Lob Z Ca, t:la►� ��!/,ec�n�r1�SAI r�z Q,� 0 <br /> LUX <br /> Sample No./Identification Date Time Lab No. m z ° REMARKS <br /> 033 r <br /> �.� 3 3Lp A <br /> 33-1 Q <br /> VN-))Lv — — ci i0 A 338 A <br /> Relinquished by: (Signature/Affili n) Date Time Received by: (Signature/Affiliation) Date Time <br /> 0 <br /> t lIR/lsz=1o � y�� 2110 <br /> Reli y: ( ignature/Affiliation) Da Time Received by: (S ature/Affiliation) Date Time <br /> Relinquished by: ( i ature/Affiliation) Date Time R e' Yr., nature/ ation) Date Time <br /> Rrt o: <br /> T �l LAtCltEat L �lltp Bill to: ULTRAMAR INC. <br /> epo <br /> J 7BZ-Z)10 525 West Third Street <br /> Fi[)L 786-7&3C3 Hanford, CA 93230 / <br /> DS U/ C 9 75 Attention: �jk_ l&A �Z7_d eAP_A&_!5r <br /> WHITE: Return to Client with Report YELLOW: Laboratory Copy PINK: Originator Copy 32.0003110 i <br />