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ir n . 1 i t U <br /> mar Inc. <br /> ST <br /> CHAIN OF CUDY REPORT <br /> obi �� _ <br /> Beacon Station No. Sampler(Print arra) DaW Form No. <br /> ANALYSES 1411CI.70 of ,6� <br /> Project No. . Sampler, igoature) <br /> 133 11�7 �,I�r�sefvC� rr1�G/ a� <br /> m C r�lh wetr�ca7'`�feC ' k <br /> Project Locati n Affiii tion , <br /> 'LocI G�.erok� v /onf V,arnMe Sys, .d) o <br /> /l,l�arm q/ T14T <br /> F- mak; <br /> Sample Nodldentification Dae Time Lab No. REMARKS <br /> MU"- rs <br /> M ~j <br /> ORO <br /> O <br /> V <br /> y' <br /> 40 <br /> w-� <br /> /0/q as <br /> Reli wished by:(S' nal ur Affiliation) D�e Time Received :(Sig,talure/Atfiliation) Date Time <br /> Y�/ 5� moat �tJE=M <br /> Relinquished by: S' nature/Alfitiation} Date Time Received by:(SignalurelAfiiliation) Date Time <br /> Relinquished by:(Signature/Affiliation) Date Time Received by:(Signature!Affilialion) Date Time ' <br /> Repo,,Rnn i o: Bill to: ULTRAMAR INC. <br /> pv Ur qlflf 525 West Third Street <br /> Hanford,CA 9323Q ( ' <br /> - J+ Attention: <br /> f <br /> CD WHITE:Return to Client with Report YELLOW:Laboratory Copy PINK:Originator Copy <br /> �f <br /> I <br /> A� <br />