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Ultramar Inc. BEACON <br /> u�arrrr <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No Sampler(Pnrrt Name) Date Form No <br /> LAQt a � �s 5 ANALYSES 31 S of I <br /> Prqect No y Sampler(Signa re <br /> Pra)ect Loca�bon t: F�tri Affiliation <br /> ixi� z o 57,0-COAX -14 <br /> Sarnple NoildmAcation Date Time Lab No M z° REMARKS <br /> 3 3 f a t p'5 I q Z> x x 3 �•nQ vop s uc� <br /> CEIVED <br /> DATE TPMP <br /> INMAL <br /> WESTTAR <br /> i I J— -t� <br /> Retirquished b (S ad el Date Tcme R ed ( ra Date Time <br /> ! v J_L11c 431 c / 1 <br /> Relmquia ti ) Cat Time e� ure! Date Tir-,4� me <br /> R i s b +gtui a ) Date ti6e Received by Sig ure/Atidiatoon D e Time <br /> Report To � - �}N9t Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Arhvl -Joc- Hanford, CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy °° <br />