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ulttramar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Slatkm No. Sampler(Pns4 Name) DateForm No. <br /> LAgy R�fl 6dSS ANALYSES 9/�9¢ of <br /> Prood No. Sampler(Signature) <br /> 1gao5 . lu <br /> t" <br /> Project Location Z r-z r, -f Afliliatiotr <br /> Nolldentication Date TimeLab No. M $I REMARKS <br /> b/111%4 13'S5 x &u. <br /> 13 311 qy 11= 3 5 Y, 3 Uo.^Q- S WA Qf" <br /> TE J A4ME <br /> i <br /> TEMP `z <br /> TI VFML-oa�� <br /> LA <br /> Relinquished by:(Sig ur ffil' on Date Time Rec r Date Time <br /> Reli b Date irne (Signatur i on} ase 7i;e J <br /> ,S <br /> of rs ed y: ate Time Received by:(Signa cation a Time <br /> Report To: jwftr ULTRAWAR IN ` <br /> 525 West Third Street <br /> Hanford,CA 93234 l <br /> Attention: �AtZNt` <br /> WHITE: Return to Client with Report YELLOW:Laboratory Copy K:Originator Copy <br />