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�� .� w■�■ � � r_ tater 11• t� � 1• tt� � � <br /> U mar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No// Sa (Prim&Nane, at Form No <br /> rQ ! ANALYSES "�� Z_of 7 <br /> Project No. er(S <br /> lb4l <br /> Lo x/0 <br /> Project"n <br /> Sarrole NoAdentif'ication01o <br /> Date Time Lab No REMARKS <br /> Z- 441Z ilfo <br /> 1 <br /> --.5d <br /> 1 -5 <br /> Alf <br /> R-Tt <br /> a/'Oa <br /> S- 70 <br /> - 75 — >0 ip;�a <br /> R inqu ed by:(Sig ure/Affrfiation) Date Trine Received by(Signature/Affiliation) Date Time <br /> ell ished <br /> Y ignature/Atfrllation) at Time Received by (Signature/Affiliation) ' <br /> e Trinef <br /> Relinquished by.(Signature/Affilration) Date TitBill <br /> ived by (Signaturelftliation} Date Time <br /> Report T / ULTRAMAR INC <br /> dY Wyk 525 West Third Street <br /> Y Hanford, CA 93 30 <br /> ,k 4/d - -9-3 Z�C� - Attention <br /> 7 z <br /> WHITE Return to Client with Report YELLOW LaboratoryCopy PINK Originator Copy 32"03 Ift <br />