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ATC ASSO*TES, INC <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No L ppm Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title ! lb 373 Address 1117 Lane Palm Avenue Suite B Address 3037 51h Street <br /> Location pQCr iC COQsf Ree- Modesto Callfomia95351 91 <br /> ��s CA 95307 <br /> "'Mroreo Sre�cof4 cA contact Frew Wan PleA contact 91ra•� <br /> Sampler's Name �/ Phone 09)579-2221 Phone (209)501 9280 <br /> (Pont) (t�7 h(-�n,J C Fax (209)579-2225 Fax (209)581 9202 <br /> Sampler's Signature , Hili To Date Results Required <br /> Client Same Data Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> 15 tray) 110 Day) <br /> El El LJ W <br /> W of to <br /> m O LL J <br /> rn x cX IL <br /> a <br /> a W N N O COMMENTS <br /> co <br /> Sample ID Date Time #Containers Matrix Preseivallve <br /> j l <br /> CC O'i1ue <br /> Trip 1k o5" <br /> Relinquls dBy Date Time Received Date Time SPECIAL INSTRUCTIONS <br /> f-C _ 0`� ��© I - 1S 0� Afi4 rn CJe/a}trr�rcker <br /> Relinquished By Date Time Received By- Date Time ;rmaf G foba I f P'0 <br /> If V7' tbogG <br /> Relinquished By Date Time Received By Date Time <br />