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Ultramar Inc. BEACEON <br /> CHAIN OF CUSTODY REPORT <br /> unramar <br /> Beacon Stal,on No Sampler(Print Name) D le Form No <br /> �JANALYSES ` % of <br /> l C ( C/i11LT <br /> Protect No Sampler (Signakure) LJ,/ e, <br /> ACL11Y w <br /> Protect Location Affiliation <br /> c N O <br /> M N U <br /> �LC�! CC �l �/ l.' ri�G�i /fit x rn� o <br /> Sample No/Identification Date Time Lab No �_ z° REMARKS <br /> Lu <br /> 11-3 <br /> >�x X <br /> �(>qv� <br /> L) AX <br /> el,5quished by (Signature/Affiliation) D to Time ece ed by (Sc 6 ture AffdialEon Date Time <br /> elinq, shed b (S g atu a/Affiliation) Date Time a ei d naturelA 10 on � Date Time <br /> ' / l <br /> Rel qa h by ,fin Mel i+ + _ Dale Time Rec , ed y , rtatu I , ) Dale Time <br /> 64 khly <br /> R ort o `l ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA,9 230 <br /> Alleniton _ � <br />