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6602 Owens Drive, Suite 100 <br /> vPleasanton,CA 94588 CHAIN OF CUSTOD ORM <br /> Main Line (925)460-5300 <br /> s 5 0 C � T i a N 0 Facsimile (925)463-2559 Turnaround SOo day _3 day _2-8 hr <br /> Project Name E_:.�[s�c n-w f " �r> Client Time: _7 day �2 day _other <br /> Project Number 54 250 Y). CSO ") Task 75-00!i� (working days) _5 day 24 hr <br /> Global I D . 70bO 4-100 3(o— <br /> Project Address (5 E NST Gy)M 1 i^cL f<7. T-ro1t } CA <br /> Laboratory �1 r4G04-) Contact -2 req 5 - ?Z,90 Analyses Requested <br /> Lab Address/Phone 303 ('crc.S (7A <br /> ATC Project Manager DY"Ct'.) V071,'3 »a-ti N N H <br /> ATC PM Ph No (925)-2255-�z-t)g,5 IJZ.1z_z j Email Vj111i 4)f 1&)5q @atc-enviro com m _ <br /> ATC Sampler ' ' 1 i r 0 Phone (925)225-`7�I c <br /> ^ V <br /> Sample Information Container Information W a o LL <br /> °�--° - N _ ~ LL g <br /> Matrix �, Field Pt. D: v v A a N <br /> No <br /> Type ' Check d same as o = O O v 1-6 <br /> Fa o <br /> ATC Sample ID Date Time seal wars► VIpor yp d Sample I.D. H = N � a c 0 <br /> hw- Z. _1030 � <br /> l- T q 'S ? <br /> Hw-L - I x <br /> P11.13 "1 1100 K <br /> 134s- V <br /> 7 :� Nnn� <br /> Additional Comments Xvoji-E / �40D&STb <br /> f <br /> EDF Format <br /> Relinquished By ' ; Datefi-ime Received By Datefrime <br /> Relinquished By I DateMme W'1,pL4 I I SYX Received By 177 , DatelTime IZ f 1 14 <br /> Relinquished By DateMme Received By `' Datef ime <br /> Sample Condgm Good? Yes— No— on lot? Yes__._No Cooler Temp Transportation Method Page of <br /> White-Lab .Y.. <br />