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ATC ASSQCOES, INC <br /> 4 <br /> CHAIN OF CUSTODY <br /> Project Interniatlou Report To Samples Submitted To <br /> Project No t� �� �Lr .Q —T- Consultant ATC Associates Inc laboratory AFgan Lads <br /> Project title ''c - 7��y�`Cr Address 1117 Lone Palm Avenue Suite B Address 3037 511E Streel <br /> Locatlou �� 1 _ Modesto,California 95351 ( Ceres CA 95307 <br /> 330 i S LG1RQ S��, Z'Ct>� Contact ��� � ` �1\ Contact 41 raw• . <br /> Samplers Name �0i-e Phone (209)579-2221 Phone 42119)581 11280 <br /> (print) I---- Pax (209)579-2225 Fax (209)581 9282 <br /> Sampler 5 Signature A Bili To Date Results Required <br /> Client Same Date Report Required <br /> Address <br /> T URN AROUND TIME ANALYSIS <br /> RUSH 74 Ilour 48 ttour Standard Special <br /> (5 Day) (10 Day) � <br /> ❑ ❑ ❑ ❑ Ef/�lt LU <br /> ro m o w m <br /> tp <br /> x z a <br /> 113 N o COMMENTS <br /> Sample ID Date lime #Cotttalners Matrix Preservative <br /> MQ 1430 v ✓ <br /> W L /oma ✓ <br /> M\n 3 /QJV pW v <br /> o -2- <br /> Relinqulsbad By C'� nnte Time Recid ed B Date Time SPECIAL INSTRUCTFONS (}♦( <br /> .Gtr 1�-q5 Id -e�►-� 4'y bra inelu . •^ MT�E_ �Tgtr <br /> Relinquished Ely D-Ite Time Received By Date Time TAM E, ' r SA i b I PG- j 5 t Z <br /> Relinquished By date Time Received By Date Thne G/a <br />