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Ultramar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No. Sampler(Print Name) Date Form No. <br /> 9 ��� �h �✓, ANALYSES 1 7-Zo-94 of <br /> Project No. Sampler(Signature) <br /> Project Location <br /> 1 Affiliation <br /> 2�ff5 E Fre��f Sf-� 'a <br /> S7f'�c.�f tan G� ll/'i �,�19C • m <br /> o <br /> Sarmle Noltdentilication Date Time Lab No. I zi REMARKS <br /> 7-ZQ-24 X <br /> /yam _3 7-20- vacs hoc ergs-y. <br /> I <br /> ITI <br /> I <br /> I <br /> Relinquished by:(SignaturefAfiliatlon) Date Time Received by:(Signature/Affiliation) pig e <br /> Relinquished by:(SignatuisfAffiliaton) Date Time Received <br /> Date Time <br /> Relinquished by:{Signator Time Received <br /> by:( AHiiiaGon) s Time <br /> Report To. —to: UL AAI C. <br /> J, 7ru,, �o>'- Hartford,CA 93230 <br /> Aiternion: Egeol?s 71 <br /> W141TE: Return to Client with Report YELLOW:Laboratory Copy PINK:Originator Copy u,xa,00 <br />