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0 0 0 <br /> unramar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> eeraanar <br /> Beacon Station No �1 y {gyp Sampler(IPnrd Name) D e Forrn No <br /> CJ55 ANALYSES !Z IL�°1a ai <br /> prqem No to O Sampler(Sig <br /> C <br /> p ►Locatan Z.56 >FqL6wv_� Aflivatpnp -11 A N o <br /> 20 0 <br /> w = = <br /> Sa Nomenrtif'ication Date Time Lab No o_ z REMARKS <br /> + ' <br /> rnu 3 <br /> TEMP <br /> ZI j "MINITJAJ. � <br /> 1AG <br /> RelinquishW by (Sig nature/Affdialion) Date Time R N (Sign relA Date,, g <br /> b (Signature/Affiliation)kation inr b a i Dale Time <br /> Relinquished y (S�g ) Date me <br /> Relinquished by (SignaturelAitiliatian) Date Time fl en►ed y (S�gnature/Affiliation) D e Time <br /> 1 � ! <br /> Report To �� w�tv�0 Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford,CA 93230 <br /> Attention K.• f'r)j%Vx6gg <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy <br />