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1l mar Inc. B&6114 <br /> CHAIN OF CUSTODY REPORT <br /> Beacon Station No Sampler(Print Name) ANALYSES /iDate` For No <br /> j Project No Sampler(Signature) � ���' <br /> 147` <br /> Project Location Affiliation <br /> i c <br /> o <br /> wi = ° <br /> Sample Noildentification Date Time Lab No m a z REMARKS <br /> �N " ► L" All <br /> yC-71' J-)-0 <br /> `t <br /> Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> Relinquis ed by (Sig nature/Affiliation) r Dale Time Received by_(Signature/AffEtiation) Date Time <br /> j Relinquished by (Signature/Affiliation) Date Time Received by (Signature/Affiliation) Date Time <br /> INI <br /> Report To 1311110 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 u00J1A0 <br />