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V mar Inc. BE ON <br /> CHAIN OF CUSTODY REPORT <br /> ux� <br /> Beacon Station No Sampler(Print Name) Date Form No <br /> / � ` ANALYSES 9-z1—A57—of � <br /> Protect No o r Z Sam ler(Sig re) o <br /> Project Location wa.�C�/sa �f _--, _ � � <br /> �' <br /> p� ` <br /> 0 <br /> EL <br /> Sam le NoAdentification Date Time Lab No z° REMARKS <br /> S- 46 - S B -zz -98 /o" ° a - 'I d <br /> s--:0 SElo: o� /e f <br /> S - s( - s /0;/0 - 0, g 1A <br /> s"3I /t9-' 32 -/l 1t �-w <br /> " <br /> S— 70 %Z —S13 /o- ¢ �/ X <br /> S — 7/ — .5'�3 <br /> Reli uwsh y (Signa e/Affiliation) Date Time Received by (Signature/Affdiatt e <br /> fished ( nature/Aff Baton) Date Time Received by (Signalure/Affiliation) Date Time <br /> Relinquished by (Signalure/Affiliation) Dale Time Rece ed b (Sign ure/AffiLr tion) DaETime9/z <br /> Report To Bdl o ULTRAMAR INC <br /> 525 West Third Street <br /> Hanford,CA 932 0 <br /> �c <br /> —z-f7 7 Attention t. <br /> WHITE Return to Client with Report YELLOW laboratory Copy PINK Originator Copy <br />