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-2-9 <br /> 6602 Owens Drive, Suite 100 <br /> %*CMain Line: (92A94585 r_ CHAIN OF CUSTODY FORM <br /> Main Line: (925)460-5300 L <br /> Project A g 5 0 c I A r E a I " ° Facsimile: (925)463-2559 ` Turnaround 10 day ^3 day _2-8 hr <br /> J Name: FIs "e k3:). Client: c 5}�p 1(1c�r� Time: 7 clay _2 day other <br /> Project Number: 7'S__ G 2s��. 3 r Task: r (working days) 5 day _„_,24 hr {�) <br /> Global l.D.: <br /> Project Address: 6-4 <br /> Laboratory: —,c,- Contact: %or S'S'g 02-00 Analyses Requested <br /> Lab Address/Phone: 13 3$'r/ <br /> ATC Project Manager: Ci <br /> ATC PM Ph. No.: 925 225- Email: pr, „ atc-enviro.corn m &6 � � a <br /> ATC Sampler: J9 qm.c­f9e t 4- Phone: 925) 584- ,2 Jr m .� o a Mm o o m <br /> D � Sample Information Container Information x N C o O0 °-° co m ,�0 LL V_ --� <br /> H W w °p to w - o y" x � , �Z <br /> Field Pt.LD.- e <br /> Matrix `m ; coo �a v U H 3 o '9) w W m <br /> Na. Type m w Check if same as e z O O U a t2 m m <br /> ATC Sample 10 Date Time sci water vapor a` ' Sample I.D. ° � � Fes- � N � a� � � � 2 -� �-- <br /> ,., <br /> —71is—AL 1713 X <br /> >11 <br /> Additional Comments: <br /> CC?,., s.fr' -S'.wr A,i Ap On V_ h Z <br /> EDF Format LXJ of <br /> Relinquished By: Date/Time: Z,r - 9/'r Received By: Date/Time: �. 4£j <br /> Relinquished By; Date/Time: &�cc� Received By. Date[l'ime: rte, <br /> Relinquished By: Date/Time: Received By: Date/Time: <br /> Sample Condition.Good? Yes— No_ on Ice? Yes`No^ Cooler Tamp TranspoftWn Method: Page—of <br /> White-Lab <br /> LlAdnWSusurflm arouWEpf chain of uaoa„rers rerisw 06*W1 Yellow-Lab Pink-ATG <br />