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' ATC ASS❑tIATES, INC. <br /> r <br /> CHAIN OF CUSTODY <br /> Project Information: Report To: Samples Submitted To: <br /> Project No:5-y,178 ,660 1 Consultant: ATC Associates Inc. Laboratory: Argon labs <br /> Project Title: 616v(r Address: 1117 Lone Palm Avenue,Suite B Address: 3037 51h Street <br /> Location: 1 Modesto,California 95351 Ceres,CA 95307 <br /> 7S w <br /> 79 / • Fl w,.4 54ret�-, Trap r,4 y- Contact: Contact: <br /> Sampler's Name: r ��r' a r Phone: (209)579-2221 Phone: (209)581-9280 <br /> 4 <br /> (print) O s�' Fax: (209)579-2225 Fax: (209)581-9282 <br /> Sampler's Signature: 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) <br /> ❑ ❑ ❑ ❑ ❑ wW W <br /> ul <br /> m d_ O q u J <br /> t] 2 m n m <br /> 2 S tL to m s <br /> F d w tv N o COMMENTS <br /> Sample ID. Date Time #Containers Matrix lPreservative <br /> D W I D o8os f 3.�5 X <br /> t)w a a?49go l 3 ao y X <br /> TJ3 09o8as � Jo o � � <br /> Relinqui ed y: Date: Time: c IVA By Dd ime: '�/� SPECIAL INSTRUCTIONS: <br /> (l J476 �n <br /> Relinquished By: Date: Time: Received By: Date: Time: 6_aw� <br /> 61e b�l <br /> Relinquished By: Date: Time: Received By: Date: Time: /D #- 7-4607 70061S <br /> Ot3t�han 1�'�%� TPHj row/` �`fE <br />