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0 0 0 <br /> 10659 <br /> Ultramar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> Beason Station No. Sampler(Print Name) Ha, <br /> Lvv\ ROD SSS ANALYSES of <br /> Project No. 101 Dw 5.1 c� Sampler(Sig <br /> Project Location $5 � Affiliation c o <br /> S-1 1�a A'nV� lac,. <br /> Sample Noilderdification Date Time Lab No. M z REMARKS <br /> t00%-ti M,�.j � 3112 �tl Z� .3� 3Japs ��.-,� 1� was . <br /> Relinquished by:(Sign r Affiliation) Date Time Received by:(Signature/Affiliation) Date Time <br /> ,/A 'I;/ -fid z(31 <br /> Relinquished by:(Sfi nature/Affiliation) Date Time Received by:(Signature/Affiliation) Date Time <br /> Relinquished by:(Signature/Affiliation) qWe Time R eiaed by: (Signature/A filiation) Date Time <br /> Report To: _ I t : ULTRAmAVr4c. <br /> 525 West Third Street <br /> Hanford,CA 93230 <br /> p�J �7N�. Attention: <br /> WHITE: Return to Client with Report YELLOW:Laboratory Copy PINK:Originator Copy � <br />