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ATC ASSOCIATES, INC <br /> CHAIN OF CUSTODY <br /> Project Information Report 1v Sarnples Submitted to TT --- <br /> F,+clllarZ p Coresullaiil A1C Associateslnc Laboratory vA+gon(abs <br /> 117to)-cl Title 10 J `�^ �� Address 11 I7 Lone Palm Avenue Suite l3 Address 3931 5111 Sbeel <br /> Location C `� —" Modesto Callfomla MCA <br /> Cerec CA 95397 <br /> �.� Contact 1-cZ*J V,,Z,y� CA Contact <br /> Sampler s Hama Phone (209)579 2221 Phone (i09f581 9289 <br /> (print) Fax (209)579 2225 Fax (20Q)581 9282 <br /> Sampler s Signature 1 l I _: 8111 10 Dale Results Required <br /> Client Same Dale Report Requffed <br /> Address <br /> _ <br /> TURII AROUND TIME ANALYSIS <br /> nusN 24liolrr 48lfour Standard Special <br /> (5 Day) (10 Day) m <br /> 3 <br /> C <br /> W dl <br /> to N n ti Itl <br /> W l N <br /> 4 Y J <br /> x n -- <br /> in <br /> N cc o CUMtSENiS <br /> Sample ID Data Time M Colrtalners Malik Pleselvallve <br /> -t <br /> MuJ I cq2 c s5� -- ---- -- <br /> u13 1155: ._ ---- --— <br /> nnv�s <br /> ,2 J -------- <br /> Rellnqulsred By Dale Tlrne Re Ived I3 Dale ihne SPECIALINSIRUCT10113 <br /> {, l ca vc'o �,1) e7- z 1G' zs r n <br /> R•flnqulehed By Dale Time Recerved By Dare Time <br /> Rellnqufshed By Dale Tlrne Recetyed By [late Tlnre <br />