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I <br /> CON <br /> duffranw <br /> Ultramar Inc. BE 0CHAIN OF CUSTODY REPORT <br /> Beacon Station No Sampler(Print Name) Date Form Na <br /> ! q q ���� 7 r� ANALYSES tv -12 ` �/ of <br /> Project No ! 11 Sampl (Signature) <br /> La <br /> Project Location Affiliation a <br /> N N C <br /> 0 <br /> X , [M: <br /> °CaLSam le Noildentihcatron Date Time Lab No m z REMARKS <br /> c9 0 <br /> k--I LFTA L <br /> - <br /> �� <br /> Relinquished by (Signature/Affiliation) I Dat`eJ Time Recery b ignature/A ti n Date Time <br /> v� c <br /> Relrnqurs (Sr ture/A Da T17 e edby ( ignatur ffrhation) Date Time <br /> r quish Si naturelAffiliatioy Date Time Received Affiliation) at Time <br /> Repo o &-- � r y �«r��` IIE to ULTRAMA C ' <br /> 525 West Third Street <br /> Hanford, CA 93230 <br /> Attention - keZ� �m�JPS <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Onginator Copy 32 6003 1M <br />