Laserfiche WebLink
! i • <br /> ATC ASSOCIATES, INC. <br /> CHAIN OF CUSTODY <br /> Project Information Report To Samples Submitted To <br /> Project NoS T 4 1/(l0 3 T 95 [)DO 7. Consultant ATC Associates Inc Laboratory Argun Labs <br /> �� r <br /> Project TiQe { �h sy!�-r Address 1117 Lane Palm Avenue Su0e B Address 303151h Street <br /> Location pae� ' ms`s Modesto Califom 85351 Q 1 y Ceres CA 95307 <br /> fi lllttl {� <br /> Contact 4 A i.� „ Contact 1(t r� ` (— <br /> Sampler sName �e i Phone ) 1 W` lUUV'.r"'� Phone �f (209)59192BO <br /> (print) s+t.. / l �e S Fax (209)579 2225 Fax (2091581 9282 <br /> Sampler s SignatureJ e _ Hill To Date Results Required <br /> /p 1 Client Same Dat*Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> (5 Day) (10 Day) w <br /> E ® m <br /> m <br /> C, <br /> y W <br /> Z <br /> N N o COMMENTS <br /> Sample IO Dale Time #Containers Malrlx Preservative <br /> F t, JCC 5b ✓ d <br /> WrIA 1,3141- <br /> ARM 314 - ✓ ✓ <br /> ReOnqulshed By e---- Date Tlme Re Date Time SPECIAL INSTRUCTIONS <br /> Relinquished By Date Tlme Received By bate Time <br /> Relinquished By Date Time Received By bele lime <br />