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• 0 . % , <br /> r" <br /> Ultramar Ince BEACON <br /> CHAIN OF CUSTODY REPORT <br /> unranui <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> ANALYSES - ` of <br /> � � S �K mo '3 Sn� <br /> Project No Sampler (Signature) k1l. 5 t tj AJ IJ)} Mp <br /> C7 .51 -0 / ��� t E Tit- <br /> Project Location �9 p S C H Fav k EE Affiliation y o <br /> La11 �, C6 . .�OcJL. o �_- 2 <br /> Sample NoildentiAlti fication Date Time Lab No ~ a a <br /> Jzo,oREMARKS <br /> m 1-- i— v <br /> q 1 �-1- -v <br /> M �1 <br /> MVV /��- a11 11q1 <br /> Mw 116 <br /> Mw — l3 0 <br /> oc DAI f&Wk � 14F 1�So <br /> m <br /> Relin wished by (Signature/Affiliation) Date Time yd b (Sign iliation ate Time <br /> Re q ish by FA�""t <br /> Affiliation) DaI (Time Received by ( gnatu a/Affiliation) Date Time <br /> 1Relinquished b (Sign Lure/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> l650 <br /> Report To Bill to ULTRAMAR INC <br /> 525 West Third S <br /> Hanford, CA 9320 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 328403 U90 <br />