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Y 6602 Owens Drive, Suite 100 <br /> Pleasanton, CA 94588 CHAIN 4F CUSTODY FORM <br /> Main Line (925)460-5300 <br /> s e O c 1 A T e S r w c Facsimile (925) 463-2559 Turnaround 10 day 3 day 2-8 hr <br /> Project NameA _ Client Time. _r 7 day Z2 day _other <br /> Prosect Number S-�]'_O�_ Taslc 1. <br /> Global I D. (working days) _5 day �24 hr �) <br /> Project Address f5l $ MAO S ANiE <br /> Laboratory r-'OT66H Contact Analyses Requested <br /> Lab AddreWPhone3306-for, ,r) S 8-OZao q <br /> ATC Project Manager kt)tj mm& A-,JN N <br /> ATC PM Ph No (925) 225- Email I( tSoN75 atc-enviro cam <br /> ATC Sampler Phone 925 225- <br /> � � o N <br /> Sample Information Container Information N o q° D e i i f°- W U- <br /> Sample <br /> Pt.I.D.- H <br /> uJ o :� ;' 00 .'c a1 <br /> Matrix K U U w 30- � ►- <br /> 140 Type � Check if same as = � � = O O U 1 <br /> ATC Sample ID DatQ Time sou w■ar vapor ' Sample I.D. H w U. Fa- = N j 4 v F $ ti LU <br /> ARK N� 1 -1 -n l loo e-'A U <br /> - <br /> Ale% 2111110% <br /> Additional Comments <br /> EDF Format <br /> Relinquished By Datefrime -n, Received Byeviv Datefrime ► 1tl mrJ <br /> Relinquished By A L- T 3 7 1 Daterrime Received By Datefrime Z- , l c <br /> Relinquished By Date/Time Received By Daterrime <br /> Sample Condillon Good? Yes _ No_ On Ice? Yes_No Gooier Temp Trarnporlalkm Melhod Page I of <br /> White - Lab <br /> Yplinw- I ah n,„4 ATrr <br />