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oftamar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> t�e�m.r <br /> Beacon Station N . Sampler(PdM Name) Date Form No. <br /> ANAL ES "-' <br /> 424 <br /> P,Cd No. Sampler(Signature) <br /> VC <br /> Project Location fNiadiot>I <br /> = = q <br /> .8amle Nalldentification Date Time Lab No. m REMARKS <br /> I <br /> I <br /> Relinquished by:(Sig urelAtfilialion) Date Time awed by:(Sig"rlon) D e Time <br /> fief hY;( ion) Date Time ReOeived by:(Signatu Affillat ) IQata rime <br /> elinquisn :1Slgnature/Atfiliation Date Time Received by:( ' bre/Afiili a Time <br /> Report To: 0: ULTRAMAR INC. <br /> 525 West Third Street <br /> Hanford,CA 93230 r. <br /> I'��I Attemron: <br /> WHITE:Return to Client with Report YELLOW.Laboratory Copy PINK:Orig;nalor Copy <br />