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I I <br /> ATG ASSAATES, INC <br /> (;MAIN OF CUSTODY V <br /> ProJect Information 1 Report To ; _ Samples Submitted To <br /> Project No S$,z 6 fig, I Consultant ATC Associates IncLaboratory Ar <br /> Project Tifle We s'J , �� Address 1117 Lane Palm Avenue Suite B Address, 3037 51h,[reel <br /> Location Modeslo Caldomla 95351 Ceres Cn 95307 <br /> Contact JdG­Jn <br /> Sampler's Name �Ls`J � Contact <br /> �/�. Phone (209)579 2221 1 Phone <br /> (209[881 9280 <br /> (print) i, _ Vc Fax (209)579 2225 1 Fax 1209)581 9282 <br /> 5amplel's Signature Bill To I Data Results Required <br /> Client� � - - - <br /> c� Address Same I Date Repa t Requires <br /> I <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> �I (5 Day) (10 Daffy) <br /> u ❑ El it Ji " <br /> N I <br /> W I <br /> m <br /> 4 it � <br /> I <br /> X to <br /> to <br /> N O I <br /> COMMENTS <br /> Sample ID Date Time #Containers Matrix Preservative <br /> M WI 1445 5 c >; �k r rr <br /> I <br /> I <br /> I <br /> I <br /> pvo <br /> I <br /> RelinquishedB Date ! Time R aivad Date l Time SPECIAL INSTRUCTIONS <br /> R 2 0 5 <br /> :q 0,0,4,�' ?' �;D� '/� °+�`� c�,�y�M,�r, r��� rr�� Tire n1Y�� <br /> Relinquished By Data time Received By Date 71ma IEbd54f fz be <br /> I <br /> qftd <br /> I <br /> Ralinqulahad By Data Time Received By pate Time 1 <br /> I <br />