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i <br /> SSsoCTEs !NC_ <br /> ATC A , <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To -v <br /> Project No ;Y IL-3 93 t 000- Consultant ATC Assodates Inc Laboratory Argon Labs <br /> Project Title BAST ��rt?Q fi ph Address 1117 Lone Palm Avenue Suite B Address 3037 51h Street <br /> Location PhC r�'C ( [ tl / ,J Modesto,Callfornla 95351` Ceres CA 95307 <br /> 3��✓ J`�l�rh-�or�Q /7ut'nW f' J7�OCKfa'7 Contact f.'ne Vin ill/rh Contact �i l�c7Hi C� <br /> Sampler's NameL Phone (209)579-2221 Phone (2119)591 0280 <br /> (prin!) <br /> llle /!�� Fax (209)579-2225 Fax (209)591 9282 <br /> Samplei"s Signature Bill To Date Results Required <br /> 4uClient Sante Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Spacial <br /> (5 Day) (10 Day) w <br /> m <br /> r- U <br /> M <br /> Gryry�� <br /> m J <br /> S x d {gyp f4O <br /> a N n a COMMENTS <br /> co <br /> Sample ID Date Time #Containers Maix preservallva <br /> tr <br /> I CC 16AMI -;190y /O o q 1/04-5 141,a-ter k C I t t <br /> W-0 ter K <br /> 4 <br /> ReBnqulsh J� Date Time ger;lved By <br /> Date Time SPECIAL INSTRUCTIONS P!la <br /> Jv 6�� 1� `a �r� j r, r� irac}a'cei' �c;nj7a�1(; <br /> Rennquishad Sy Date Time Received By Date Time l LVA --l'7060-770C <br /> ` V <br /> t V <br /> Relinquished By Data Time Received By Date Time <br />