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6602 Owens Drive, Suite 100 <br /> Pleasanton, CA 94588 CHAIN OF CUSTODY FORM <br /> Main Line: (925)460-5300 <br /> a SOCIATE B INC . Facsimile: (925) 463-2559 Turnaround 10 day —3 day _2-8 hr <br /> Project Name: u A 157, Client:_aUlr, STop MAXK0,7STime: �7 day ^2 day _other <br /> Project Number: --I�, (6 ISO, *32A 3 Task: � _ (working days) —5 day 24 hr L,l <br /> Globall.D.: a p — — <br /> La jest Address: SSS ��� « O� r, 0 � <br /> Laboratory: �• A ER •,_�,, NE' •• �,k�3 <br /> Lab Address/Phone: <br /> 6Y9_0 MA LA 5 Contact: N Analyses Requested <br /> ATC Project Manager: <br /> ATC PM Ph. No.: 925 225- <br /> Email: HRMAN atc-enviro.com +� <br /> ATC Sampler: nG-,'c Phone: 925 225- w y <br /> 0 0 <br /> Sample Information Container Information r :° N ,. <br /> Matrix Field Pt.1.D: � <br /> m o :2 r- �b <br /> ATC Sample ID Date Time sell w.ar v.por ��� Type Check if same as z o = O O 0 0 1 c W <br /> Z w <br /> ' Sample I.D. LC H x vii O� o & b <br /> VJ- 2Z�-vz. 14tS X VOA X <br /> -Z s x <br /> W-3 I I O <br /> W-11 131 ,5' 1 <br /> W" ° I I tx <br /> to 1 130 <br /> i~1-7 5 <br /> v.►_s z s x <br /> MVJ <br /> - o z 35 x <br /> Additional Comments: <br /> G y <br /> EDF Format "'s <br /> Relinquished By: Date[Time: Z_7.7>0b Received By: Date/Time: <br /> Relinquished By: -Date/Time: Z17-7164-11110 Received By: Date/Time: <br /> Relinquished By: Daterrime: Received By: Date/Tims: a7 <br /> Sample C.or►dNlon 7 Yes— NO— On Ice? Yet_NO� Cooler Temp1 Transportation Method; 17-11 <br /> M 1 <br /> White - I ah <br />