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i, <br /> ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project No: 5,f(C)37 Project Information: Report To: <br /> © Consultant' Samples Submitted To: <br /> ATC Associates Inc. Laboratory: Argon Labs <br /> Project Title: Address: 1117 Lone Palm Avenue,Suite B <br /> Location: z21 C�S�nc�� Address: 3037 51h Street <br /> SGS f Modesto,California 95351 Ceres,CA 95307 <br /> r� Contact: ,��y�� .r� Contact: <br /> Sampler's Name: Phone: (209)579-2221 <br /> ,/ Phone: (209)581-9280 <br /> (Print) J,�. ry U c'l.� Fax: (209)579-2225 <br /> Sampler's Signature: Fax: (209)581-9282 <br /> Bill To: Date Results Required: <br /> Client: Same Date Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special ! <br /> (5 Day) (10 Day) w rF <br /> l El 0 w T <br /> m d Q LL N <br /> A O = r� m —t. <br /> a N Nto <br /> o <br /> IL a w. <br /> Sample ID. DateTime #Containers Mabiz COMMENTS <br /> p. <br /> (v,Z�O� lsU / Preservative <br /> lf�7 <br /> iC <br /> Relinquished B ' <br /> _ Date: Time: Received By: <br /> +v-z <br /> Date: Time: SPECIAL INSTRUCTIONS: <br /> � �r e3 l6 S3 ` <br /> t <br /> Relinquished By: Date: Time: Received By: <br /> Data: Time: <br /> F <br /> inquished By: Date: Time: Received By: <br /> Date: Time: <br />