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ATC ASS09ATES, INC . <br /> CHAIN OF CUSTODY <br /> Project Intarmatlon Report To Samples Submitted To <br /> Project No 's j, 114 2 TS Ocn{ Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project Title Address 1117 Lone Palm Avenue Surie B Address 303751h Street <br /> 1_ocafron <br /> P Y Modesto,Callfom 95351 Ceres CA 95307 <br /> Z E f>�tal C / contact �y�y� .Se,1 Contact #"M m {1 <br /> Sampler's Name Jt le- r" Phone (209)579 2221 Phone (209)5a1 9280 <br /> (print) f! f=�(-�� Fax (209)579-2225 Fax (209)501 9282 <br /> Sampler's Signature � `+�� a n 9111 To Dale Results Required <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (s nay) 110 Day) <br /> ❑ ❑ ❑ ❑ N <br /> w <br /> Kd � a <br /> Ia 2 a 0 <br /> q. o = mm <br /> T N N o COMMENTS <br /> Sample IU A Date Timee� #Containers Matrix Preservative <br /> �I�L Al �1 <br /> ''`yV(. tJV Y <br /> KUjI ,0!5p <br /> bw 1035 L/ <br /> 1,fte 66AV Ano z -4V <br /> Relinquished By Date Time Received By Date Time SPECIAL INSTRUCTIONS 5ubm(/ e 4o <br /> 1S• '•0�i 6e-o 4-ac4,-,r- <br /> Relinquished By Date Time Received By Date Time UJ f 7 y, -:'(oyIwg� <br /> Relinquished By Date Time Received By Date Time , <br />