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i <br /> ATC AssoCOTEs INC <br /> CHAIN OF CUSTODY - <br /> Project Information Report To Samples Submitted To <br /> Project No `rt , 0C)OI Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title (1,�, Address 1117 Lone Palm Avenue Suite B Address <br /> Location �Y gzv— �nS P il G `^ Ceres <br /> C Street <br /> 11-65,1 S�f'� �,� Contact xModesto,California 95351 / Ceres CA 95397 <br /> t7� d,�'rew V&&A /� Contact <br /> Samplers Name Alex `OS Phone (209)579-2221 Phone (2U9)581 9280 <br /> (print) Fax (209)579 2225 Fax (209)581 9282 <br /> Sampler s Signature n Bili TO Date Results Required <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUStI 24 Hour 48 hour Standard Special <br /> {5 Day) (14 Day) <br /> ❑ ❑ ❑ ❑ 5�;' W _� <br /> c $ <br /> m N <br /> m � a <br /> ra m R it mm <br /> p = .! <br /> x X a. � <br /> 11 a w n r COMMENTS <br /> Sample it) Date Time Il Containers Matrix co <br /> Preservative <br /> 2 0�} 3Z5 <br /> uJ2 1355 ✓ ✓ <br /> lZ�� ✓ ✓ <br /> 1n� 3�� ✓ ✓ ✓ <br /> S (/ <br /> Ulf b ✓ <br /> im vi 12-20 s <br /> MW X36 s <br /> �W <br /> IA35 s ✓ <br /> Relinquished By r1 Date Time Receyii d date Time SPECIAL INSTRUCTIONS Sv� r✓ � <br /> ---7L -�� z-7 Ic Y 2 c-c) III <br /> Relinquished$y ]JI Date Time Re yed By Date/ Time 1,,, e& 1 I h aA 7-Q6077660-5 <br /> Relin shed By Date Time Received By Date Time <br />