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s - <br /> `" ATC ASSOCIATES, INC. <br /> j CHAIN OF CUSTODY <br /> Pno]ecl Inlormatlon: Report To: Samples Submilled To: <br /> 6 Lahoralo Atgm Lehe <br /> Prefect 11a• �•z6�z�r dQa Consultant: ATC Associates Inc, rY' 9 <br /> Prefect Title: �'r - _ Address: 1 1 11 Lone Paint Avenue,Sulle B Address: 3937 50e Sheet <br /> Location: " Modest9,Calilorn,lar95351 Ceres,CA 95597 <br /> Contact- �10I V 0-11 M" Contact- 91`%a iw%- <br /> Sampler's Name: \ Phone: (299)579-2221 Phone: (209)581.9280 <br /> tpdnl) J r` � n Fax: (209)679-2225 Fox: (299)501-9202 <br /> Sampler's Signature: Bit)To: Dale Results Requlre& <br /> Clleld: Same Dale Tnepoel Required: <br /> Address: <br /> 1URIr AROUND TIME ANALYSIS <br /> Rusll 24Itour 4i Iltvur Standard Special <br /> (5 flay) ((10 Day) <br /> ED L a ren <br /> w m <br /> L v <br /> . m � <br /> LL � <br /> d�al <br /> X 3: q ii <br /> � ry � 4 coMMenis <br /> Sem le!D. Dale Time 0 Containers Mahix Preaervallre <br /> mow! ., - 44 ,� �✓ - <br /> W ' 4-1 <br /> Ll <br /> z <br /> � ISob �1 ✓ � � <br /> PAW9 Q. �a f ✓ <br /> nelfnqulslred Dale: Time:- cele By; Vela: three; 5PECIRI-IN5TRUCTIONS:,SRR/`�µt e.� <br /> 1 3 •41A )UQ Gl c�kAd� ' r <br /> nellnqulslrod Oefe: Three: Received Ay_ Dole-, 11111e: �� i D Tj •' /iJ 1p[i F � <br /> nellnquletip.d By: Hater Ilum! Recelved Dy: bale; Tlnee: <br /> i; <br />