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i ATC ASSOATES1 INC <br /> CHAIN OF CUSTODY - <br /> Project li formation Report To Samples Submitted To . <br /> Project No i�r d Consultant ATC Associates Inc <br /> Project ry <br /> Trfle (��, Address 1117 Lone Palm Avenue Suite 8 _ Address argon Lets <br /> Location �Y rur `- )i1st'`'j G� 8`� 3037 51h Street <br /> Modesto,California 95351 Ceres CA 95307 <br /> (fit A Contact &Q W va-, .44, Contact t'�- , <br /> Sampler's Name //►� d v ���/ Phone {209}579 2221 f Phone <br /> {P f " l`h ' "o�� 5 Fax (209)581-9280 <br /> nn! {2fl9}579 2225 Fax (209)581 9282 <br /> Samplers Signature "- Bill To Date Results Required <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) 110 bay) <br /> m <br /> Lu <br /> C U <br /> m N <br /> W <br /> b <br /> O1 <br /> � m 0 LL. m <br /> qr x <br /> to m -� <br /> ti a <br /> 4 w M n o COMMENTS <br /> Sample ID Date Time Containers Matrix <br /> z -5L� Preservallve <br /> 1,355Ice- <br /> ✓ ✓ <br /> MW3lZ © ✓ ✓ �✓ <br /> ..MW4 1515 ✓ ✓ ✓ <br /> -5 ✓ ✓ <br /> PA W .5 ✓ ✓ <br /> w 12-210 <br /> V/ ✓ <br /> bW I aM 5 <br /> Relinquished By tel' Date Time Re�ed Date Time SPECIAL INSTRUCTIONS sV�i i e <br /> Y—,d L <br /> Refinqulsllied y } Date Time Rey+el�red Hy Date Time .�,L <br /> O "I l9 77�� IJfD(r I <br /> Reffn shed By Date Time Received By Date Time <br />