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::•"Q' •�• -y,r _ _ i.. WT_ .- .9'ri+..e� r.m.':+aa.+r-..•5;y�. ...�.,��.-,.:a•+y'r.�:F!i'v:.�•r r, _ -'r ,,.-r.•_.._ _ _ -- <br /> Fr{ W w � <br /> BRCON <br /> CHAIN OF <br /> - CUSTODY REPORT <br /> Beacon Station No. Saner rfnt Name) D e Form No. <br /> iYr ` ANALYSES 3" �0 <br /> I NN(5 of Z <br /> Project No. Sampler(ftnature) <br /> Project Location Affiliation V <br /> �'• fo c_�f�1 �UQ./Zd� /�ill1J /NL ° 1�1 <br /> Saffgft <br /> NoAdentilication Date Time Lab No. REMARKS <br /> ' W -- o3o3 - Mtjl0 <br /> 043 o -- <br /> -.03 07 - /W W 12 <br /> I•i <br /> !V Rellrquished by:(Signature/Affiliation) Date Time Received by:(Signature/Affiliation) Date Time <br /> Reli hed by:(Signature/Affiliation) Date Time Received by:(Signature/Affiliation) Date Time <br /> Rel ftished by:(Signature/Affillation) Date Time Received by:(Signature/Affiliation) Date Time <br /> Reportjo: Bill to: ULTRAMAR INC. <br /> Y 525 West Third Street <br /> Hanford, CA 93230 ) J <br /> Attention: C) L���t 5 � -. <br /> r� <br /> WHITE: Return to Client with Report YELLOW:Laboratory Copy PINK:Originator Copy ; �� <br />