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ATC ASSOOTES, INC. <br /> CHAIN OF CUSTODY ZCY . <br /> f l Project Information: Report To: Samplis Submitted To. <br /> r6 ProJect Ito: 'rT 6 Z 37-6-- ©O / Consultant: In <br /> AT Associates c. LahOra tDry: Argon tn69 <br /> a, <br /> Project 1 ille: Address: 1 1 17 Lone Palm Avenue,Suite B Address: 3037 51h Srreel <br /> far►•rT1 C.►r <br /> ocallou: C / 1 Modesto,Caliiol is 95351 ( res,CA 953(17 <br /> �/O N-- vr► J!`f f����`?s-. Co►itact., J�� V*-t,, <br /> Isr I I>°/� Contact: <br /> t <br /> Samplei s Name: Phone: (209)579-2221 Phone: (209)981 92B0 <br /> r A <br /> J 1prirrol) Q f--e J Fax: (299)5711-2225 Fax: (2(391581-9282 <br /> Sampler's Signature; Bill To: pate Resells Required: <br /> Client: Same Date Report Required: <br /> t Address: <br /> TURN AR_O_Upa 11ME ANALYSIS <br /> RUS1► 24 hour 4ti ltour Standard Special <br /> J5[lay) flit Day) n <br /> N <br /> co <br /> LL <br /> I J <br /> 4 x 10 o <br /> p x LLi c1Ov N o COMMENTS <br /> I= - <br /> y co lk- <br /> Sample <br /> IO. _ Dale Thule k Conlatners Matrix P+re`se►valive <br /> t <br /> Relinquished Byi Data; Tlrue: Received Data: Time: SPECIAL RISTRUCTIONS: <br /> t} Rolingalshod By: nater Tinre: Received By: Date: Time: <br /> Relhrryulshed Ry: Dale: Tirne: Rpeeived By: Bale: rlrno: <br /> f <br /> k t' <br />