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= = M M M = M M M = 1111111040111110 <br /> Ultramar Inc. L Y C BEACON <br /> CHAIN OF CUSTODY REPORT <br /> t�nir ' <br /> Beacon Station No. ANALYSES I Sa pier(Pant e) y Dat 7 oFlo' No <br /> Z <br /> - * <br /> �tCCJJ <br /> Project No. <br /> r <br /> atur Ins, f'j'( !C <br /> Lo <br /> 7 <br /> Project Location Af ili n <br /> L t� rl0 <br /> w � = <br /> Sam le Noildentification Date Time Lab No m IZ REMARKS <br /> // '�4 �� f <br /> S IS -mUJ-3 <br /> - '*-70J-3 --v f <br /> S _35-,O&j3 L �l� -u <br /> R inquish y- (Sig ure/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> i <br /> zz� �.' <br /> h y Signature/Afliation} Time TimeRelinqusf <br /> Relinquished by (Signature/Affiliation) Date Time Received by (SignaturelAffiliation) Dale Time <br /> � <br /> Report T till t ULTRAMA I C <br /> 525 West Third Street <br /> Y Hanford, CA 93230 <br /> /' �c 4/(� ' ,9 3 9— 2 t•? Attention U' r <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Ongmator Copy <br />