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ATC ASSOCIATES, INC. <br /> } <br /> CHAIN OF CUSTODY <br /> 4 <br /> 1 <br /> Project Information: Report To: Samples Submitted To: <br /> Project No ,ITUO©© Consultant: ATC Associates Inc. Laboratory: Argon labs <br /> Project Title: Address: 1117 Lone Palm Avenue,Suite B Address: 3037 51h Sheet <br /> Car Iove.x Pva <br /> Location: `` \-- " Modesto,Calirornla 953 1 qJ21%)!'i <br /> reCA 85107 <br /> Contact: Contact: S <br /> Sampler's Name: A ex Phone: �09 579-22221 O S Phone: <br /> (print) Fax: (209)579-2225 Fax: (209)501-9202 <br /> Sampler's Signature: A Bill To: Dale Results Required: <br /> Client: Same Data Report Required: <br /> Address: <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> 15 Day) (10 Day) ai <br /> n <br /> 0 o a <br /> Itl <br /> lrt w W <br /> m Q J <br /> toN N No o COMMENTS <br /> Sample ID. Dale Time #Containers Matrix Preservative <br /> mot t20 2 ✓ <br /> uJ3 <br /> 4 I <br /> M W5 12'e ✓ ✓ <br /> Mv�� t 225 � ✓ ✓ <br /> wb an� <br /> Relinquished By:- .�� Dale, Time: Ree ved ^ Date: Time: SPECIAL INSTRUCTIONS!-so-i " `oma <br /> ►�1+ c�eplLre,C�k�— rrttt�. <br /> Relinquished By: Date: Time: Received By: Data: Time: �!/-&4a/Z2) *."'r <br /> O <br /> / T <br /> ZeAc kos► Owi ll-A fora% M <br /> RellnqulsltedBy: Date: Time: Received By: Dale: Time: 1r p6,, .8 7 C 1C Q• S Ppb, <br />