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T- 111iratar Inc. <br /> � <br /> unranw <br /> CHAIN aOF CUSTODY REPORT BEACON <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> I �+ ,4 •per ANALYSES �/Z'�'S of (47 <br /> q q C Ct/- <br /> Project No Sampler(S nature) <br /> e4Project Location Affiliation v <br /> / <br /> Al <br /> con � <br /> X == <br /> Sample No./Identification Date Time Lab No m aa. . z° REMARKS <br /> 3 -_3o <br /> 33 <br /> 0 _c>'S` 1 <br /> 'es�'T <br /> Ref lquished by (Sign ur Affiliatio ) Date Trine Received ( ture/Afiiliat ) Date Time <br /> yr - 69 N P-o 6 J rd- <br /> Relrn y ignatur6tAll hation Da a Time R e by ign rel ion) Date rine <br /> Reli �ubV (S Affd io Date Time Sr ure/Aff ate Time <br /> Report To Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> Attention •'sy ���=rr ra % <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32 eOU» <br />