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- Ultramar Inc, <br /> = CHAIN OF CUSTODY REPORT <br /> Ultramar <br /> Beacon Station No Sampler(Print Name) Da e JJ Form No <br /> ANALYSES YJ 7 of <br /> Protect No Sampler Si ature) <br /> C <br /> Pro ecl Lo lion Aii�l bon o a C <br /> Sample No/Identification Date Time Lab No m E°- _ zX 76 <br /> ° REMARKS <br /> x -KIX <br /> 202-1 <br /> ti - <br /> Ih Rlelinqurhed by (Signal a/Affiliation) Dale Time R�q ived by (Sign lure/Afhh bon) Date Time <br /> f�j qufs ed by �(S n urel f ilia f ) D to Time Received ig <br /> Hilar ii n Date Time <br /> 1 � <br /> Relinquis y (S r4lur ill ! Date Time Re we ( ign ural 't afro <br /> Dafw Time <br /> Re rt l f3dl to ULTR AR INC <br /> CGLfr7 h G GGS /� 525 est Third Street <br /> 1 lanlord, CA 93230 <br /> Attention /4 l� <br /> '20D°" ° <br /> Ufl IlTr' r1rhfrn to Chnni will, Rnnnrl YFI 1 MW I ahornlnn, f;nn,, � PINK nnrnnalor Copy <br />