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Vmar Inc. 3 75 BE ON <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No Samp er(Pnnt Name) Date ,, Form No <br /> ANALYSESZ--ef <br /> �l 19 <br /> Project No Sa ler nature) <br /> X19 <br /> 2— <br /> Project Ale ,-,� <br /> Project Location Affdi <br /> 53V C-4 .1/Y1 C � _ <br /> X 'es <br /> = 2 0 <br /> Sam le Noildentification Date Time Lab No a a z°I REMARKS <br /> l:---5 J3 7 -2-5 ic. S -o <br /> : l <br /> _S 8 2,a 3a <br /> l —z. S B Y -o <br /> o 2-1, +Z- <br /> -5- <br /> 1, ¢L.s- -S3.9 s ao o� <br /> z <br /> 1100 <br /> —.x 3 ' z/ <br /> S - 6, 1 -Sh-31 s- V -f- - a <br /> S - —5 7.S r <br /> 70 <br /> Sd —15 74 x <br /> -s '/y <br /> 1 <br /> Date Time Received by (Signature/Affiliation) Date Time <br /> elmq h ature/Affd+ation) Date Time Received by (Signature/Affibation) Date Time <br /> Relinquished by (Signature/Affiliation) Date Time Rece ed by (Sig ture/Affihation) Date Time <br /> Report To Bi to ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford,CA 93230 <br /> -U 72 -- Attention Wle, v <br /> WHITE Return to Client with Report YELLOW Laboratory Copy PINK Originator Copy <br />