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r-- [""i C-"`' r---, r-� 117-0. 1177-111 lit -117-7t. r� r�'-� �- 3 - tom' 9-7 <br /> ` 6602 Owens Drive, Suite 100 <br /> r Pleasanton,CA 94588 CHAIN OF CUSTOD4#FORM <br /> Main Line: (925)460-5300 <br /> A S S o G I A T E 8 I N C . Facsimile:(925)463-2559 Turnaround L010 day ^3 day 2-8 hr <br /> Project Name: Q l -k-aiap Iza. Client: Time: _7 day _2 day other <br /> Project Number: 't .b20` 05 Task: (working days) _5 day _24 hr <br /> Global E.D.: `10(cCt`l-1004 j �Oi� � b QQ T� <br /> Project Address: S <br /> Laboratory: ,�e� Contact: _ r Anal q <br /> S'Tl. fGr �� L�ZS)+�$�}-- �� i� lyses Requested <br /> LabAddress/Phone: 1220 Qa,jwry lnnle. vtem '1imr1.CA' � <br /> ATC Project Manager:_ <br /> ATC PM Ph. No.: 925 225- Emaii:eIiSW0P+W 71 atc-enviro.com m n Q <br /> ATC Sampler: IM,H,40 Phone: (925)225- -7%15 m 0 � � � a <br /> wto o N o v .s LU Z <br /> LL <br /> Sample Information Container Information 1 ;r N o .mom.. �° 0 rn QD �` m <br /> Field Pt.I.D.- w � �° w n s �; C4 � <br /> Matrix ;, ; -o v v w o v <br /> No. Type Check if same as s r = 2 O O v 1 _ 0,m <br /> ATC Sample ID Date Time sat waw v„pw ri ' Sample I.D. w m. ,� Fa- = N j a ij m a <br /> i LS 4KI <br /> N1 �i O <br /> Additional Comments: A ti �• - <br /> EDF Format <br /> Relinquished By: DateMme: /'U- - /2!t3'Received By: - Date/Time: ro•- r'+r/ !� <br /> Relinquished By: Date/Time: Received By: /� "` Date/Time: <br /> Relinquished By: Date/Time: Received By: Daterrime: <br /> Sample Condition.Good? Yes_ No on foe? Yee_No_ Cooler Temp Transportation Method: Page of <br /> I <br /> White-Lab <br />