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I <br /> Ultramar Inc, BEACON <br /> CHAIN OF CUSTODY REPORT <br /> 13eaoon Station No Sampler{Pint Name) at Form No <br /> ANALYSES q 5 1 of I <br /> Project No Sampler(S�g t e <br /> I � <br /> � c <br /> Proy)ct Location ��S F�LE►<ti�,� Affiliation o <br /> SrSaUL-S CG `V , N L. vm 0: U <br /> W s z Q <br /> Sample No Adentif ication Date Time Lab No m IL z REMARKS <br /> 0-'-s 5. X X Is 4a, ,�Vuns V" vj�-a- <br /> M� Z' oq' 5o <br /> i <br /> 3 Io <br /> rr.u xA <br /> W-41 <br /> Relinquished by (S ature/Atfiliation) Date Time ery by to ffIII Date Trme <br /> Z. S / <br /> Relinquish y igna re/ T Datetime-- R e IJn r atc ) Date Mme <br /> Relinquis b S ur i ffjiW /[Taf6Time Recei ed by rgnaturelAttil�ahon) e Time <br /> Report To M 'C�,��Fvtip Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Plm111.0 SN L Hanford, CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy <br />