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ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project Information: Report To: Samples Submitted To: <br /> Pro]ect No: a�j a.Ob8 f Consultant: ATC Associates Inc. Laboratory: Aigon I-abs <br /> Project Title: — Address: 1117 Lone Palin Aventie,Suite B Address: 3037 51h Streut <br /> Locatlow S /AX/ Modesto,Califoinia 95351 Ce es,(:A s5307 <br /> Contact: Contact: <br /> Sampler's Name: /�/� �/ � f3 1 '��r� Phnne: (209)579-2221 Phone; (209)581-92B0 <br /> (print) �� Iy J !it} /(L))iJt�4 Fax: (209)579-2225 Fax: (209)591-9282 <br /> I Sampler's Signature: .� � ��' <br /> 13111 To: Date Resells Required: <br /> rfrr f, <br /> IV y" 1f� N � Client: Same Data Report Required: <br /> 1` <br /> Address: <br /> _ TURN AFJOUND_TIME ANALYSIS _ <br /> RUSH _-24 Flnur 48 Hour Standard Special <br /> (5 Day) (10 Day) w <br /> El <br /> m rn <br /> w 0 <br /> on m d w <br /> cu <br /> q o = m <br /> IL a w N N o COMMENTS <br /> r <br /> Sample ID. Dale Tlme #Containers Matrix —heselvative — <br /> 3 0 01� DSS- <br /> GtJ --- <br /> a��AW, } Li�-Iy�SL- — — — <br /> MwG - <br /> Nml o 3s --- <br /> SV(aIn�IISIoed '1 I Date: Time: Received By: Data: Time: SPECIAL INSTRUCTION : <br /> ~ -y d t <br /> 17 <br /> P.elin uis y: Date: Time; Received Gly- Dale: T[nw <br /> V— <br /> Relinquished By: Date: Time: Received By: Date: Time; 6 ibex; 7(1 <br />