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ATC ASSOCOES, INC <br /> CHAIN OF CUSTODY <br /> Project Intorrnabon Report To Samples Submitted To <br /> Protect No +�, Consultant ATC Associates Inc Laboratory Argon Lobs <br /> ProjectTitle � ���yt�y �?��P,Q Address 1117 Lone Palm Avenue Suite B Address 3037 5th Street <br /> Location t + 1 j Modesto CallfbTFIN 9535 Cie/res CA 95307 <br /> �v T 1 L C r V� S Ie—n r f{ Contact _jeao e- �/ �� Contact lTl t'ClcLl �, <br /> y� <br /> Sampler s Name ,rt ��� t (Ly��� t'hone (208)579 222Phone (2(9)5811-9280 <br /> 1 <br /> (pant) A? Fax (209)579 2225 rax (209)581 9282 <br /> sampler 5 Signature Q_ >r,� BIII TO Date Results Required <br /> fC�� <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RU514 24 Hour 49 Hour Standard Special <br /> JS Day) (10 Day) +� <br /> j W c <br /> ❑ ❑ ❑ `.�' <br /> m rr) <br /> IL CL u°i N N a COMMENTS <br /> F <br /> Sample ED Date Tlme #Containers Matrix preservative <br /> 1 1� GA Al <br /> Relinquished By .r' p7te J f Time y pate Time SPECFAL INSTRltCT10N5 Lr�t rift <br /> � �- Tl l�0`I Flo' 7 � r /6 ��S 9 vl (xeo*C „vac 4. <br /> Rentiquished By bate Time Received By Date Time f�U / �� �• /0w7?00 L f <br /> Relingalshed By Date Time Received By Date Time <br />