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4 ' <br /> Ufframar Inc. BEACON , <br /> h CHAIN OF CUSTODY REPORT } " <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> ��4fic� <br /> ANALYSES �`�-� � �of <br /> C q ( 17 .-)� (>,v I <br /> Project No Sampler Signature) <br /> 4 I �c �� ��-rte?, 747 <br /> Project Location Affiliation <br /> 0 <br /> Sam le Noildentification Date Time Lab No m l i z REMARKS <br /> 01 <br /> Relinquished by &11,r'Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> 7 <br /> elinquished by (Signature/Affiliation) Dae Time Received by (SignaturelAffiliation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Report To bill to ULTRAMAR INC <br /> 525 West Third Street i <br /> Hanford, CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy INK Originator Copy 32 SM M <br />