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�r rr rr r� r r■� �r r� ■■s �r r� r r� � r rr r r <br /> ATC ASSOCIATES, INC <br /> CHAIN OF CUSTODY <br /> Project Informatfon Report To Samples Submitted To <br /> Project No lw l V95/' 000 Consultant ATC Associatesinc Laboratory Argon Labs <br /> Proj ect Tilfe q Address 1 1 f 7 Lone Palm Avenue,Sulle B Address 3037 51h Street <br /> N S S ttz�t q_RT <br /> Locatlon , 6 �0. $+� Modesto Cafdomia 95351 ere, CA 95307 <br /> W R Ow t C-A Contact Contact <br /> Samplers Name ��� 4 i���� 1111+ Gf�sl C Phone 4"5 8 z2, A�� Phone (209)�g�p <br /> (pnnt) f r`� Fax (209)579 2225 Fax (2o9)504 9282 <br /> Sampler s Signature Bill To Dale Results Required <br /> / <br /> Client Some Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (70 Day} <br /> Ll El <br /> c <br /> LU <br /> M m <br /> VQ <br /> m 4 v 1 <br /> m ra <br /> X 4 o a <br /> to to o <br /> COMMENTS <br /> Sample ID Dale Time N Containers Matrix Preservative <br /> aioo <br /> �C" b � . opo a `Z ✓ <br /> t <br /> i <br /> Relinquished By ------- Date Time Received By Date Time SPECIAL INSTRUCTIONS 5VJI )k <br /> 0 am n 14/40 sI4 <br /> Ra Inqulshed Py Data Time Received 134/ Dale Time <br /> Relinquished By Dale Time Received RV Dale Time <br /> I <br />