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V amar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT r 2 7s <br /> IIJ m r <br /> Beacon Station No Sampler(Print Name) Daytfj Form of No 3 <br /> { ANALYSES <br /> Project No / Sa ler( ature) <br /> 1419 l _ 'V y <br /> Project location ffdi bn <br /> J1I o <br /> Sample NoAdentification Date Time lab No 1-2a z° REMARKS <br /> .s— - S - - z-' 3 0 <br /> -Tr --SB 739 <br /> f - S Zi <br /> tS 1 <br /> 3: v _ 02 <br /> -5 - o <br /> 4-Q '/z —S '/S o3 xi <br /> S—� --S 3' Z? <br /> --.s 3 <br /> S-- s 3: S --701 1 l <br /> 3 ' s <br /> r _ 7 Yz—SJ3 17 ' L <br /> -J r C <br /> Renuis by=(Signatffiliatio Date Time ,Received by (Signature/Affiliation) Date Time <br /> i <br /> eh ish ( nature/Affili tion) Date Time Received by (Signature(Affdiation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Rece ed by (Signature/Affiliation) Date Time <br /> pw"C/ <br /> Report To B to ULTRAMAR INC <br /> 525 West Third Street <br /> �? l <br /> Hanford,CA 93230 <br /> —,P5 v - 2,/7L Attention / �.J O e AL. 44/zle <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy 7210D3A0 <br />