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ttr� ,sur V r tltttt>• tttttt>• 111111110111111 =1111111 <br /> ir � <br /> Ultramar Inc. / BEACON <br /> CHAIN OF CUSTODY REPORT ` <br /> lsrtrrerr i <br /> Beacon Station No Sam r(Pant Name Dat Fo m No <br /> ANA ES ��6 of <br /> Project Na Saler(S tura) <br /> Ale 1-t*4r <br /> Uo4l - 13 <br /> Project Location o <br /> w = = ° <br /> SampleNoildent+ncation Date Time Lab No m a a z°I REMARKS <br /> S -- <br /> 2.0 - VE-5 rz: Zz — 0 ( <br /> 1� <br /> S-zs — VFS 1Z! L7 <br /> S —31D rV S 17- 137, 1 r r,2 <br /> S- _ %./ al 394�4i <br /> 13, 0d <br /> S St, --V os 13 P. 07 - v X <br /> SSS - vl 13 './Z_ _ 05` I <br /> Re nquis by (Sign retAffiliat+on Date Time Received by (Signature/Affiliation) Date Time <br /> Yi l� r0� , e 3 0`' <br /> elinquish y ('Signature/Affiliation) We Time Ji Received by ignature/Affiliation) OaI6Time <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Dalle rime <br /> f , <br /> epoft T9 Bill t ULTRAMA C <br /> & ,pir 525 West Third Street <br /> Hanford, CA 93230 11ff <br /> Attention 02/• K✓ t � .._� <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 3290031 <br />