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0 a <br /> Aamarhm, <br /> CHAIN OF CUSTODY REPORT BEACON <br /> X5651 <br /> Seaton Station No. Sarnp Print Name) Date Form No <br /> ANALYSES of <br /> Project No Sa (Signature) •1 �7J'C <br /> Pro n <br /> Iecl Aifiliatio <br /> Z 1 <br /> Samole NoJldenlification1 Date Time Lab No z° REMARKS <br /> 672— <br /> WZ.I (oma M LJ g C Q• j d — 0 3 <br /> Reli shed by (Sign u A abon) Date Time Received by (Signature/Affiliation) Date Time <br /> r Zo 11:04) <br /> Relinquished by(Signature/Affiliation) Date Time Receivedby S nature/Affiliation <br /> y = i9 ) Date Time <br /> Relinquished by (Signature/Affiliabon) Date Time R ed by (S nature/Aff kation) Date Time <br /> /00 <br /> Report To 'To <br /> ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford, CA 93230 } (� <br /> �J u Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy � <br />