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M M w M M M M M <br /> ATC ASSOCIATES, INC <br /> CHAIN OF CUSTODY <br /> Project In[arm Blinn Report To Samples Submitted To <br /> Pr01ee1 110 5 .Z.5 8 Z'7,z(y(-, ADRSUIIall qTC AeSUdales Inc Labvralory Argon Labe <br /> Prv)ecl Tllle p,7 5 E_2 <br /> 5r )W E t#/pee3" Address 1117 Lane Palrn Avenue,Suite 6 Address 303r 5th 5lreot <br /> Lvcallon Mudesly California 95351 C�erJ s CA 05307 <br /> 2537 W476 W.bO )?OA-k3, S7�K7bAJ Contact �'�i}ur 16 /{Oli45—1 y Contact f7V-I!M a- <br /> Samplers Name Phone (209)679 2221 Phone 42091501 929u <br /> (prinl) �O 5 Fax (209)579 2226 Fax 4209)581 9292 <br /> Sampler s Signature Blit To dale Results Required <br /> Cllenl Some Dale Reparl Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> Is Day) I10 Dayl m <br /> ag <br /> rr <br /> 2 <br /> m a F w " <br /> xx03 911 <br /> N COMMENTS <br /> Sample ID Dais Time 9 Containers Matrix Preserva0va <br /> u1! © 1403 ✓ ✓ 1 E <br /> r 1q,45 C)rt (, <br /> AwIZ 1 3 Uo ✓ f <br /> 141 <br /> '1D Uva <br /> V W t oVA903 )' `1 VOA ffzP <br /> v w Z oy*6 r5 D *VO4 14zD ✓ <br /> 94)3 olgo () L4ooA Ng) <br /> ✓ ✓ <br /> F XI o-q1663 IWO 4v <br /> &//M) C9rcz) 1 vv I <br /> Rellnquls d d Dale TimeRe dBy Dais Time SPECIAL INSTRUCTIONS <br /> Relinquished By Date Time Recelved 8y Dare Thne <br /> Rdinqulshad By Oale Time Received Sy pole Time <br />