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� i <br /> ATC ASSORATES INC <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project No Consultant ATC Associates Inc <br /> ltLabt7ratary Argon Labs <br /> Project Title Address 1117 Lone Palm Avenue Suite B Address 3037 51h Street <br /> Location �t:�C vvuz.�r ? tL -&L r Modesto,California 95351 Ceres CA 95307 <br /> ti `i 'S , Contact lyew V^ Attu Contact <br /> samplers Marne ` � Phone (299)579 2221 Phone <br /> (print) 14' `� l 1 C + `�� Fax (209}591 9299 <br /> (209j 579 2225 Fax (299)591 9292 <br /> Samplers Signature Bill To Date Results Required <br /> A - - <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 4B Hour Standard Special <br /> 15 Day) (10 Day) <br /> ❑ ❑ Ll ❑ 54 mku <br /> m m � w f <br /> a a o N N <br /> �! <br /> Sample ID Date Time #Containers Matrix COMMENTS <br /> 11 Preservative <br /> th kc <br /> Relinquished By i r�r Date Time Ret ved BY Date Time SPECIAL INSTRUCTIONS SiJATft ICt <br /> Y 16 LIS- <br /> Relinquished By Date Time Received By Date Time <br /> Relinquished By Date Time Received By Date Time '�` <br />