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6602 Owens Drive, Sude 100 <br /> If Pleasanton, CA 94588 CHAIN OF CUSTODY FORM <br /> r Main Line (925)460-5300 <br /> A 5 5 o C I A r E s I N c Facsimile (925)463-2559 Turnaround 1-410 day 3 day 2-8 hr <br /> Protect Name cy p fX tD Client — `-" <br /> € Project Number .54.2524-1r D0� Task Time `7 day 2 day other <br /> „,,,1 7,5003 {working days} _5 day _24 hr <br /> Global I D TObo 4-100,; row <br /> ' Project Address 1:5 EA ST Ekfflf-tPQ <br /> L6boratory 19 RGotJ Contact (.2a S R I- 9250 Analyses Requested <br /> Lab Address/Phone O h a <br /> ATC Protect Manager f n E <br /> ATC PM Ph Nom I Email \IA%) I IEY}6a cQatc-enviro coin o _ W) <br /> ATC Sampler rd o Phone (925)225- -y$13 m <br /> �. m a <br /> Sample Information Container Information a C 0 a � wo " " <br /> E, <br /> Matrix 4 d Field Pt.I D.- ►~ <br /> No Type ' Check if same as to � a i 0 0 0 � � m <br /> i ATC Sample ID Date Time Sell wze.r vapor d ' Sample I D v LL = N j COL- <br /> MW <br /> �� CL EU <br /> VoIA ICL � ~� <br /> t-1W - C�I55 <br /> f M S l <br /> �za <br /> S <br /> �_ r dLAn K 2, <br /> ELI' I Additional Comments TrJVo1 £ O <br /> i€ <br /> x <br /> EDF Format rz <br /> Relinquished By A Date/Time Received By Daterrime <br /> Nelln uished B c �� ti <br /> , q Y Datelrime 10 Received By Datemme <br /> Relinquished By Datefrtme Received By Datefrime <br /> Sample Condition Good? Yes— No On Ice? Yes No Cooler Temp Transportation Method Page _Of <br /> L White -Lah <br />