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ATC ASSOCIATES, INC <br /> CHAIN OF CUSTODY <br /> Project information Repo$I To Samples Suhndtted To <br /> Project lio T4 ���� 5'. �� �1 Consultant ATC Associates lnC Laborelory Argon I ahs <br /> PIC)ecl Tllle �rI S StCV'�f Address 1117 Lone Paid Avenue Suile B Address 3037 51h Sireei <br /> Locallon Modesto Caldarnla 95351 C <br /> eres CA 95307 <br /> . til.-,1l1 ` Corrlact Contact <br /> Sampler s Name `4 '"' T Phone (209 579 2221 Phone <br /> A � •�j"'C ��, ) (209)581 9286 <br /> {pont) f� T ( Fax (209)578 2225 Fax (269)581 9282 <br /> Sampler s Signature 13111 To Data Results Required <br /> Client Same pate Report Required <br /> Address <br /> TURA AROUND TIME ANALYSIS <br /> RUSTI 24 hour 40(lour Standard Special L <br /> 15 Day) (10 Day) w <br /> to � <br /> D U f� L- IN <br /> W Cr <br /> q L <br /> 4 m m <br /> � � Ato to <br /> cc l* COMIdEiTIS <br /> Sample ID Date line p Containers Malolx F ieservaUve <br /> tits 2- l 00 - <br /> R1 1 hedBy bat Time Receive Date 11.e SPECIAL INSTRUCTIONS _- <br /> ren Ceo�r�icka� <br /> Relinquished 9y Dale Time Received By bete flme J r j}� •�,' <br /> 1115 VJ ..F Arr �/ �7 `•-"�1I1�/ <br /> RelGrqulehed By Pate Time necelved By Date lime i1 �'`PA' �1��7tf✓ I[�ti"� <br /> 1�(o AIR! 0 6 ! ) <br />