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0 <br /> Ultramar Inc. ,T � VE'. <br /> CHAIN OF CUSTODY REPORT ��// y w E .T. lEACN <br /> data G <br /> Beacon Station No. Sampler(Print Name) DateForm No. <br /> ANALYSES -rZ S of 'Z <br /> Project No. Sampler(Signature) <br /> Vior Z. o z <br /> I Project Location Affiliation •� �, � --1- A-- -•q S <br /> - ICI <br /> x �> <br /> Sample No./Identilicalion Date Time Lab No. <br /> m f°- z° REMARKS <br /> � <br /> ..S <br /> Relinquished by: (Signature/Affiliation) Date Time Received by.: (Sign ture/Alf'llatiDate Time <br /> Relin %fished by:{Zo tur f Ifijiation) Date Tim i Received by: (Signature/Alfiliation)' Dale Time <br /> Relinquished by: (Signator /Affiliat on Date Time Received by: ignalure/Affil'alio C, Dal Time <br /> Report To: 13i� ULTRAMAR INC. <br /> 525 West Third Street <br /> A M U Hanford, CA 93230 <br /> Attention: <br />