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Ultramar Inc, ' <br /> BEAGON <br /> CHAIN OF CUSTODY REPORT <br /> tiltrars�r <br /> Beacon Station No Beacon 695 Sampler(Pant Name) ANALYSES Date Form No <br /> Hal Hanson f�-'q'°�3 2 Of <br /> Project No 94-695-01 Sampler(Signature) <br /> -� <br /> 11 1.14 <br /> r4T <br /> Project Location AffiBatlan ou os Environmentalta <br /> ► <br /> Leda, Ce U <br /> Sample No!identification Date Time Lab No m � � � REMARKS <br /> MW-24 3� 12179-09 x a, <br /> NIH!-27 s, s 610 12179-11 <br /> 16f-28 116 12179-12 PL <br /> L mw-29 �I� 12179-13 <br /> M-3D 94X 12179-14 <br /> 16 Px--1 p 12179-15 <br /> t RW-2 7 12179-16 <br /> Relinquished by(SignatumlAffillation) Date Time Received by(Signature/Affiliation) Date Time <br /> � w � <br /> Relinquished by�(SignaturelAffiliatlon) Data Time Received by (SignatureiAffiliation) Dale Time i <br /> Refinquished by(Signatum/Affiliation) Date Time Received by, (Signature/Affiliation) bate Time <br /> RepodTo Sheila Richgels bill To ultsamar <br /> Fugio West, Inc 525 W 3rd Street <br /> 1050 Melody Lane, Suite 160 Hanford, CA 9323D <br /> Roseville, CA 95676 Attentlon Kenneth Earnest <br />