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U or Inc BE ON <br /> uah+ne�■r <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No. Sar(Prim Name Date Form No <br /> &Iq I� ANALYSES /of Z-- <br /> i <br /> Project No <br /> La <br /> Project Location, 44 1tAffjno0P'- <br /> , � <br /> Sample NoJldentlfecalbn 7 Date Time Lab No zi REMARKS <br /> - -: _ z_ <br /> -S' <br /> _S -z.� - Z- Po <br /> L <br /> .S- - I <br /> Rel ish •(Signal AffiElab Date Time 1 Received by (Signature/A)fihation) Date Time <br /> ReAumfied y nature/Atfi tion) a Time Rece ved by (Signature/Affiliationi Dae Time' <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Report To�� Bill to ULTRAMAR INC <br /> y y '� 525 West Third Street <br /> / Hanford,CA 93230 -14 <br /> 9 39- ,71 Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy �+ � <br />