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Ultramar Inc. BEACON <br /> CHAIN OF CUSTODY REPORT <br /> ' Efitramar <br /> Beacon Station No Beacon 419 Sampler(Pant Name) Date Form No <br /> Hal Hansen ANALYSES $ of <br /> Project No 94-419-01 Sampler(Signa)ure) <br /> a u <br /> Project Location Affiliation Doulos Environmental o <br /> Stockton W U <br /> Sample No 1ldentification Pale Time Lab No m 1 12 1 REMARKS <br /> MW-1 1 1`p15 �-��' 13098-01 <br /> 4 <br /> MFT-2 13098-02 <br /> MW-3 ,Z. 1.�3' 13098-03 <br /> 13098- <br /> 13098- <br /> 13098- <br /> 13098- <br /> 13098- <br /> Relinquished <br /> 3098-13098- <br /> 13098-13098- <br /> 13098- <br /> Relinquished by(Sig ure/Affiliation) Date Time Re ved S at Aff on) Date Time <br /> Re inqui ed Date Time FfWivWWy i a Time <br /> Reli a na ure tl n) ate Tinfe Received by (S196RUbTw cation) T a <br /> k�_ _s <br /> P <br /> Report To Hal Hansen Bill TO ltramar <br /> Doulos Environmental 525 W. 3rd Street <br /> 1537 Pine Valley Circle Hanford, CA 93230 f <br /> j Roseville, CA 95661 Attention handy Stephenson ---f <br /> i <br />