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ATC ASSOCIATES, INC <br /> 3 <br /> CHAIN OF CUSTODY ` <br /> Project Information Report To Samples Submilled To <br /> Projecl No $f(/r doo f Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title /J T S Tf r+ta�t O ri Address 1117 Lane Palm Avenue Sufle B Address 3037 5th Street <br /> Location 215 ,,�� ii Modesto California 9 3 i Ceres CA 953o7 <br /> W. �� Contact ��1.Yh1r14� ,,yvr * Ey/ Contact Mra.m <br /> Sampler s blame �Q Phone (209)579 2221 ����"" / Phone )209)581 9280 <br /> (print) ALx- r re 5 Fax (209)579 2225 Fax (209)581 9282 <br /> Sampler's Signature A A _ Bill To pale Results Required <br /> -�•,C•� Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH .24 Hour 48 Hour Standard Special <br /> (5 pay) (10 Day) er <br /> D E D MED Cf? <br /> el <br /> 'a <br /> a � � <br /> m I? <br /> y9 MM <br /> 0 0 <br /> N fl O COMMENTS <br /> Sample ID Date Time N Containers Matrix Preservallve <br /> �RlOo �0� <br /> MUg 1 X33(3 4 <br /> M 3 Mo <br /> r+ 4 <br /> Rellnqulshed By bale TimeRe Dale Tlma VECIAL INSTRUCTIONS �j- <br /> °[�(B D� r = 'frl�a f =�j°S Ili � D�r'aG�]�/sir / r�/wrtrAQt, <br /> Relinquished By Date Time Recelyed By Date Time 'Q� ' �� 'rT• �O ILLS-' TW�7S <br /> Relinquished By Dais Time Recelved By Date Time <br />