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ATC ASSOATES, INC <br /> CHAIN OF CUSTODY <br /> Project Intormation Report To Samples Submitted To <br /> Project No +� t 9$ 0 p0 Consultant ATC Associates Inc Laboratory Atgw I abs <br /> Pro ecl Title * C1,.. Address 1117 Lone Palm Avenue Suite B Address Cres C 95 <br /> I N S Zrr.gq <br /> Location Modesto,Californ�ial'95351 Cres CA e53o7 <br /> Z11S W , Maly, S +� dYt Contact _JQAr%K4& v".1 <br /> Contact 1 i U�wl C <br /> Samplers NameINN �}�� LS Faxne (209)5792221 Phone (209)5B1 92BO <br /> (Print) ex Flo (209)579 2225 Fax (209)581 9282 <br /> Sampler s Signature g _ Bin To Date Results Required <br /> Client Same Date Report Required <br /> a <br /> Address <br /> I <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 46 Hour Standard Special <br /> (5 pay) (10 Day) w <br /> ❑ ❑ ❑ ❑ �A <br /> N <br /> m m qJ <br /> 0. a a N N o COMMENTS r <br /> Sample 10 Date Time #Containers MaklK Presetvallve <br /> IV\\O b4o 1016 G LJ 9 IA T c-e- <br /> 2- j660 <br /> Li I <br /> foto L4 ✓ <br /> A4'104 Z G <br /> f <br /> RellnquMed ay �� Date / j Thus Race Dale TEmo SPECIAL IN 51Jb M r 4e -Q <br /> Relinquished By Date Time Received By Date Time <br /> Na4-e;j( vAAr$F )5 (76S ��f 2. <br /> Relinquished By Date Time Received By Date Time b q E Q l- R)a (So f;^ t r" �I <br /> lrU Alit OKYS C+�a�Y SPA <br /> �b P, <br />