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ATC ASSOCIATES, INC <br /> CHAIN OF CUSTODY 1 2 <br /> Project Informatlon Report To 5 pies Submitted To <br /> '�� 'L(p Consultant ATC Associates Inc Laboratory Argon Labs <br /> Project no Z 5 <br /> Project Title P-P ms i e-& S2X �, #�!C096 Address 1 i 17 Lone Palm Avenue Sul1e B Address 303e 51h Street <br /> Location C37 y 7 0 F Modesto,Calltumla 95+351 5 `resryC �953U7 _ <br /> ✓ ( f[(,� t Contact ��KM- Li,. Contact T �r ` C <br /> Sampler s Home J/�yr � �/ Phone (209)579 222 111��'���rrr Phone (209)5111 9280 <br /> (pnnl) 1`"tLf<.� � 1 Q r�S Fax (209}579 2225 Fax (209)581 9292 <br /> Sampler's Signature,A � � Btll To Pate Results Required <br /> /�— Cilent Same Date Report Required <br /> Address <br /> TURN AROUND TIME ANALYSIS <br /> RUSH 24 Hour 48 Hour Standard Special <br /> is DRY) jig Day) to <br /> El El � 0 PSr: <br />� w <br /> 2 Q ti M <br /> 4 M <br /> 0. N N O COMMENTS <br /> Sam le ID Date Time 1r Containers Matrix h PreservaUve <br /> 16216�L) M00 <br /> vJ 11 i 'd,10 4 <br /> �3 izo <br /> Mu�l� t��� ✓ � <br /> 1133 <br /> Nk Lo J055 t/ <br /> 1 7 ✓ V/ - <br /> Relinquished 13y Data Time celva bate Time SPECIAL INSTRUCTIONS (JfJJ7]/ e <br /> (© Z-7'f� 1-f xaj r m ) X11 C La 7 C�X �(-YY\ <br /> Relingnlshed By bate Time Received By bale Time <br /> Regngolshed By date Time Reeelved By bate Time <br />