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liiiiii� t• iflfl>• Itliiii� M r w M M M M M M M <br /> Unramar Inc. BEACOCM <br /> 0U"Famar CHAIN OF CUSTODY REPORT <br /> Beacon Station No Sampler(Print Name) D e Form No <br /> ANALYSES <br /> � l L <br /> Project No Sampler Signature) <br /> �L <br /> PrO ecl Location Affiliation <br /> o <br /> rn <br /> LUT T- <br /> 1-- <br /> - o <br /> Sample No/Identification Date Time Lab No mm i __ z REMARKS <br /> Lb <br /> OIZ4-X <br /> I // <br /> tj —3d Y /-3, <br /> P 1 1h f � ; <br /> Relinquished by (SignalurelAf(ilialion) Date Time R ceive by (Sig at re If lata n) 1 Date Time <br /> elmqui hed y (Si h Lure/Affiliat 4DIe Time Received by (S h iurelAffil ion Date Time <br /> Re ih u y ( nat Af hat Date Time Recei a by S at II ratio le Time <br /> A P ul o Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA 9� <br /> Attention <br /> 32 8003 1 M <br />