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r <br /> ATC ASSOSTES, INC <br /> CHAIN OF CUSTODY <br /> Report To Samples Submitted To <br /> Project InfonnatJon <br /> Project Na Consultant ATC Associates Inc Laboratory Atgon Labs <br /> j S�� a- Zq - �QD j Address 3037 5Ih Sheet <br /> Project Title F GQ r- t~o nS�f�p�'o n Address 1117 tone Palm Avenue Suite t3 <br /> Modesto Califarnla 95351 Ceres GA 95367 <br /> Location t 5 fo 3 y 51L e,n C J E !Z�- 1 E,S �-to"' A, contact <br /> Contact -brat VG. Allf" <br />� Phone (209)579-2221 Phone (2x9)581 9280 <br /> Sampler's Name Fax (209)501 9202 <br /> (print) 0 R-1 epi tr t VA S Fax (209)579 2225 <br /> 6111 To Data Results Required <br /> Samplers 519nature <br /> Client Same Date Report Required <br /> Address <br /> ((( TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour $iandard Specla! <br /> (5 Day) (14 day) w <br /> xu <br /> El <br /> X U- <br /> X <br /> Z a UJ N N o COMMENTS <br /> Preservative <br /> Sample ID Date Time 0 Containers Matrix <br /> FMW k10 16-r K <br /> Sq5 <br /> rnw H �,�ta5 <br /> MVJ <br /> P1 <br /> rA <br /> w5 g�5 <br /> S <br /> >a 4 <br /> - -- , <br /> Relxnquishe y Date Time Received By <br /> Date Time SPECIAL INSTRUCTIONS <br /> 2 •�0 4 O 2 4� �� �� k9—por IL fV wt <br /> Date Time Received By Date Timo f/aw�sk Q OSSi t7� L' <br /> Relinquished By JJCC f <br /> Date Time Received By Data TLne <br /> Relinquished By <br /> ToGo����l <br />