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i ATC ASSOC ES, INC. <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project Nn Consultant ATC Associates Inc; Laboratory Argon I abs <br /> Project Title B,t s av►o Address 1117 Lone Palm Avenue Suite B Address 3037 5fh Street <br /> Modesto California 95351 Ceres CA 95307 <br /> Location <br /> +4 7 3,2 4E"IL- Hy 8 8 57 a t 4t-&n t contact Contact <br /> samplee Na e Phone (209)579-2221 Phone (209)581 9280 <br /> {pent} � 'A H C k1 Y l ST►��Q n Fax (209)579 2225 Fax (209)501 9282 <br /> Bill To Date Results Required <br /> Sampler's Signature <br /> 1 Client Same Date Report Required <br /> /•(!/Q Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour standard Special I I v a <br /> Is Day) (10 Clay) I w liI <br /> E E-1 El IM <br /> c <br /> y�j m <br /> x m� M j <br /> (L n N o COMMENTS <br /> PreservativeSample ID Date Time <br /> #COntainers Matrix <br /> TO Os-.70-01 0"700 a W&-kr Y X TCt <br /> G P 3 W 1 00 6 f- 96-81 d$ 6 ro rel ue%r �C X ' •_ "� <br /> j�r� oS-�o-o� atsY ! se, ! �c x arc <br /> GP3 s <br /> 60 Y v GS--?o-vY 01a 1 5011 X r J e-C <br /> 6F3 S0►1 7� ice <br /> Received B Date Time SPECIAL INSTRUCTIONS <br /> Relinquished By Oaf Time Y _ <br /> _ Os-)D-uY <br /> Reanquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By bate Time 1 <br />