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Company Name/Aodress• Billing Information A 1 ilvys ! (-int lir or r 2r sorvati p Cham of CJstocfy page of _
<br />ATC - San Ramon, CA Accounts Payable
<br />2001 Crow Canyon Rd
<br />,
<br />rim
<br />2001 Crow Canyon Rd
<br />Suite 200
<br />San Ramon. CA 94583
<br />Suite 200
<br />San Ramon, CA 94583 als 8ozClr-NoPres A 8ozClr-NoPres 10m1Amb/Me0H1OrnI/Syr , (ace.
<br />MORI ADVANCING SCIENCE
<br />Report to:
<br />Matt Livingston
<br />Email To:
<br />mattlivingston@oneatlas.cormMichelle.Berube
<br />MT JULIET, TN
<br />1:C65 ,t0a.or NI 1..,,,, . .• • , ,,. , .
<br />Project Description.
<br />Bonnie Plants - Linden
<br />City/State
<br />Coliertecl
<br />,..,( i r-1 ( ii:I. ase Circic:
<br />./ PT MT CT IT
<br />L.
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<br />VI -....
<br />Pace Terms and rnelaliwns tuund at
<br />Phone: 925-460-5300 Client Project
<br />204BS04278
<br />ab Protect 4
<br />ATCSRCA-BONNIE
<br />E o ...I T o
<br />SDG
<br />E170
<br />Collected by tprinni,
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<br />Site/Facility ID Es P 0 5
<br />2
<br />.in
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<br />Acctnum: ATCSRCA
<br />Collec ed 0 signore).
<br />-1e7
<br />-: Rush? (Lab
<br />Same Day
<br />MUST Be
<br />Frye Day
<br />Notified) Quote it E
<br /><
<br />Template:T203983
<br />Prelogin: P905570
<br />ii ediately
<br />ked on Ice N Y ,..-
<br />_ Next Day
<br /> Two Day
<br />._ Three Day
<br />5 Day
<br /> 10 Day
<br />(Rao Only;
<br />(Ran Only).
<br />Date Results
<br />1.-.T . 5
<br />Needed
<br />( 1.--
<br />N D.
<br />i 1CAM17 Met DRO/ORO-C GRO-CA 40n 0
<br />VD ni to
<br />PM:110 -Brian Ford
<br />PB:
<br />Sample ID Comp/Grab Matrix • Depth { Date Tune L iars V Shipped Via:
<br />0 saawkauattaalo
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<br />SS
<br />/ , :7; ;," - ?.. )( Ni IX j j_..-0
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<br />.Z./2.--Y-2.'
<br />if - 3 / ss --) j . :-172/7;1 ...._
<br />ti a 6 ss c/
<br />ri
<br />2 ( 22122, i / . / ,) 2- x
<br />-4 ( t -/ 67) SS
<br />/ I/12 _.,/, i ' • 36 Z
<br />)r--- 5 SS (
<br />17
<br />/
<br />.7 / ?_1-1.212L: 1/13K X k kic /(.' fion k <
<br />, , •••6 _ :11. eel )5 .
<br />:_7_,
<br />SS ,(
<br />7. //2 i 10 c 1,_ )( )1\. X A --pof --eV? _
<br />— / / / (...-", c3.' / 6 ? >(,_ X
<br />-
<br />-"Z ,
<br />, 575 C_ -
<br />....
<br />17,. / S' 7" X.
<br />2S ( - ) _5, ss --, _› ..., /1c. L A Y )4
<br />* Matrix: Remarks: i c,/ d ri, I r,,,,, i .., /41 sj..,,,r_il ,,,j, ,,,,-7 1 , v; , iti / , , i--,,, ,Sarmie Receipt Checkl isL
<br />SS - Soil AIR Air F Filter
<br />GW Groundwater B - Bioassay
<br />WW a - WsteWater
<br />x, ;), Temp r ---J-17-L, 4 LtAilti, =v--. ,low Other
<br />coC seal Present/Intact: NP yy
<br />COC Signed/Accurate:
<br />Bottles arrive intact: IE N
<br />DW Drinking Water
<br />OT - Other Samples returned via: Tracking it
<br />Correct bottles used: -4 -- Sufficient volume sent:
<br />If Applicable _ UPS ___ FedEx _ Courier VOA Zero Hcadspace:
<br />Rehildu she by : (Signal-6de) Date: .
<br />/-
<br /> / ...-
<br />Tie m
<br />"1-'' I
<br />R ce ved by i ci t i natur Trip Blank Received: S No
<br />/MeoN
<br />201A. 1
<br />__Y
<br />Preservation Correct/Checked Y :
<br />SAD Screen <0.5 mR/hr : _Qi ___
<br />Reli ished y : ignature)
<br />Ii shed by: Signatu
<br />Datb Tune II 1V'i1 y4ng at . .,...-: - ,
<br />/\.1A -1
<br />Temp: <ic Bottles Received:
<br />1.43 4-• 0 :/..g 20 4 11 e
<br />If preservation required by Login: Date/Time
<br />1 Date
<br />Z.3/71-
<br />tree Receiv
<br />i (9 7 - _•vC.)
<br />lab by: (Signature)
<br />-/ ...........,
<br />Date Time:
<br />1- Zc 2 llot)
<br />Hold: Condit' :
<br />NCF / K
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