Laserfiche WebLink
ATC AS FATES, INC 16 <br /> CHAIN OF CUSTODY <br /> project Information Repoli To Samples SRUndlted To <br /> Project f!o S 2 9 d0 Consultant ATC Assoclales[Ill. I aborafary ArUun tabs <br /> projecl Title q[� 1 Address 1117 Lane Palin Avenue,Sulle B Address 3031 51h Sheel <br /> Locatlun J�i l ��� Modesto,Californla 05351 l,eres CA 05301 <br /> i i4Z uw+�Ly` } <br /> �� �[ Contact 'f.ltiV�� �Aov---,ekl L.onlacl <br /> Sampler's frame /� 1 Phone (209)579 2221 Minna (109150 0280 <br /> (pdnl) A aFax (209)579 2225 Fax (2001501 0292 <br /> I <br /> Sampler s Signature „r-- Bill To Rale Reautls Rerlufied <br /> Client Salve Bate Rcpori tlequhed <br /> Address <br /> 1 DRI1 ARUM10 111,10 AIrALYSIS <br /> RUSH 24 Ilour 4B Ilour Standard Special W <br /> 43 <br /> n (5 Day) 10 Day) N <br /> L ! El D M-, k IL <br /> r _ nrJ C <br /> m <br /> F-1 1 N <br /> m 7 a <br /> xro 4 m 1 <br /> N N N o COMMEHIS <br /> Sam la ID Date lime N Conlalrrars Mahix Preserva0ve <br /> Q 1255 ✓ �IC',� iw <br /> 21 -- <br /> ��3 13 5 <br /> � o <br /> _._ M6_ <br /> 6) L ✓ <br /> lakmv- A/ _CA66 <br /> Relinquished ByDale Tlrne liecely J Hy \ / Data Tillie SPECIAL 11151R1IC liDRS 2 r - 1( <br /> A J�g �,e r�- <br /> 1�1 1'!1 <br /> f-9-o <br /> Relinquished By Dile Time Recelved By Gale Thne /!>L � -�rp 720(0O{ <br /> nellnqurehed By Dale Time Recelvod By Dale lhlra <br />