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Meer Inc. BESON <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No Sampler Pnnt Name) Form No <br /> f I ANALYSES � � � l ! l of r <br /> Project No Sampler( re) <br /> LO- (91 2 <br /> Project Location Affdiat - <br /> Uz- 05 <br /> X � n <br /> Sample NoAderdi icat+on Date Time Lab No m �- REMARKS <br /> W r , - 02 <br /> �. 10 - q - 03 <br /> ki NII Ir <br /> 0 : 1 -06 <br /> -O7 �1 R111 III <br /> Wh - re/Affiliation) Date Time Received by (Signature/Affdiation) Date Time <br /> re/AffdiationL- rte. - _ DXe Jima fteived by.(Signature/Affdiabon) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Recewe by (Ssgnature/Aff�hat�on) Date Time <br /> Report To Bill to ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford,CA 93230 <br /> Attention <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 32AMIM <br />