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ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project Inrormatlon: neport To: Samples Submitted To: <br /> Protect Na JC I�.2 T'1'--�tr�C� — Cotisuftank: ATC A9sodale9 Inc. Laboratory: Mgon Labs -- - --- - - — <br /> Pro)ecf 1f0e: t Address: 1117 tone Palm Avenue.Suite 13 Address: 3037 501 Street <br /> Location: �rvS Modesto.California 953 I Ce es.CA 95307 <br /> --zja �f j'� Contact: � S Coolact: Gy1 G <br /> 4'4 Lr_ it � <br /> Sampler's 11011a: QIF Phone: 9)579-2221 Phonr: { 09158 1-9280 <br /> (pfinl) C3L4C / —Al Y-e 5 Fax: (209)579-2225 Fax: {zge)581-gze2 <br /> Sampler's Signature: _ Bill To: -- Date Resuaa Requlred, <br /> Client: Sema bate Report Required: <br /> Address: <br /> 7URI I ARQUfID 11ME A1IALYSIS <br /> Ru51i 24 Hour 49 flour Standard Spacial - <br /> (5 day) 110 Day) <br /> o a <br /> M R L p <br /> x m m <br /> DO w <br /> n a CahihtElrlS <br /> Ssn! le ID. Data ilrrut a Cantalnars Matrlx Preservative <br /> Ad <br /> v 2 _ 1 bD ,� <br /> V - -- <br /> Relln uka d By: Defe: lime: R ved By- 1 Datr. Time: 5PECIALIN5TRl1CTIOJJ9:S,,,�'1'�( �-- <br /> :� /0 Z 3 S� IY, <br /> nelingalshed By: Date: lime: Received By., Uale: lime: <br /> Rellaquyhad Ely; _ Date; lime: RecdwdBy: Date! Time• <br />