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f <br /> Ultramar Inc. ! BEACON <br /> 1 <br /> CHAIN OF CUSTODY REPORT 7 7,3 <br /> E�trarn.r <br /> Beacon Station No. Sample (Print Nam �alq �, Fo n No,_ <br /> ANALYSES (of <br /> Project No. S pier(Si tore) <br /> Project Lo elan <br /> x Wo <br /> 0 <br /> Sample NoAdentifscat'ion Date Time Lab No. m a z REMARKS <br /> S �/� —/aIGCI.9 /f���� •—a i <br /> S icy �rcv t -44 <br /> /T; �G <br /> lllJ.� x-71 /e -v7 f <br /> R nquis by:(Sature/Ailillation) Date Time Rece�iv�ed by: (SignaturelAffiliation)AQj Date Time <br /> c�y� t GL/U C/ -L �y�t vl.t C<-. t S. j: S <br /> elf quish b :(Signature/Affiliation a Time Received : (SignaturelAffilia'on} v' to Time <br /> Relinquished by:(Signature/Affiliation) Date Time Rec ' by: (Signature/Affiliation) Date Time <br /> ,r <br /> b <br /> � s �l� L1 UKh <br /> eport T Bill to: ULTRAMAPIING. <br /> 525 West Third Street <br /> rHanford, CA 93230 <br /> Attention: <br /> WHITE: Return to Client with Report YELLOW: Laboratory Copy PINK:Originator Copy u'O07A0 <br />