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ATC ASSCIATES, INC <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No $$� ,W 3'� Consultant ATC Associates Inc laboratory Argon Labs <br /> Project Title j ,L Address 1117 Lone Palm Avenue,Suite B Address 3037 51h Street <br /> Location <br /> f Modesto,California 95351 Ceres CA 95307 <br /> Contact 1)V6-! V, All, Contact <br /> Sampler's Name Phone (2179)579 2221 Phone <br /> (Print) ,^t_, ��"t�ry r Fax {209)581 9280 <br /> (209)579 2225 Fax (209)581 9282 <br /> Samplers Signature Bill To Date Results Required <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (10 Day) <br /> N <br /> ❑ ❑ ❑ ❑ RK a <br /> N <br /> M M <br /> W hl m o Lb COMMENTS <br /> Sample ID Date Time #Containers Matrix <br /> Preservative <br /> i01 Soil icy <br /> GpTz Z50 i <br /> PTz _�oj 1310 <br /> Relinquished Date Time lZece ed By Date Time SPECIAL INSTRUCTIONS <br /> `` `� s _ <br /> �_l <br /> TAA <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time <br /> Toho 4-�u tzv <br />