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ATC ASSOCIRES IN <br /> CHAIN OF CUSTODY <br /> Project Information ReportTo Samples Submitted To <br /> Project No 4rq tt�3q 3 *ao L Consultant. ATC Associates Inc Laboratory Argon Labs <br /> Project Title Q At_i F r(- LaA 5 T Address 1117 Lone Palm Avenue,Suite B Address 3037 51h Street <br /> Location Modesto Callfomla 95351 Ceres CA 95307 <br /> 3-155 MU1'lf6ri4) ArL eroCten>J L A Contact I)VS Contact. A-,-.-., C <br /> samplers Name A ILW- jt✓✓J{N 5 Phone (tog)579-2221 Phone (209)581-9200 <br /> (Print) Fax (209)579 2225 Fax (209)581-9282 <br /> Sampler's Signature Bill To Date Results Regi,lmd <br /> Client Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 49 Hour Standard Special <br /> 15 Day) (10 Day) N <br /> El E:1 El ® ul in <br /> m N <br /> OR <br /> m <br /> a. IL rL N N c COMMENTS <br /> SamplerD Date Time #Containers Matrix Preservattve <br /> MW- t ZW03 13 t (flA,5 v+�t X tit i 1- <br /> Mw3 <br /> raw-s i z`aw <br /> JAW- 3'3o <br /> (AW-1w 5L <br /> ma.g 11, 2.1 <br /> Mw-Ik7 12 t <br /> Relinquished By Date 7 t Time TReJdB hLa Date y/ Time SPECIAL INSTRUCTIONS <br /> `�!✓r✓ � � J d/ I f l � ��'� �'I� {�'�rcc Y Pr �+r3'"j d� <br /> 5 <br /> Rerinqulshed By Date Time Received By \ Date Time <br /> ,^ <br /> Relinquished By Date Time Received By Date Time <br />