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TestAmerie; manton Test, mencai. <br /> 1220 Quarry Lane 7*V ; Chain of Custody Record THE LEADER IN ENVIRONMENTAL TESTING <br /> Pleasanton9456 1 S ,v LV TestAmerica Laboratories,Inc. <br /> phone 92 ..48844 1919 fax 925 6003002 I <br /> Client Contact Project Manager:Wendy Key I Site Contact: Date:11/21/13 COC No: <br /> Ryan Dominguez Tel/Fax:916-637-8326 Lab Contact:Micah Smith Carrier: ' of;,COCs <br /> Job No. SAC 139 <br /> 3043 Gold Canal Drive Analysis TurnarouadlTime _ <br /> Rancho Cordova.CA,95670 Calendar(C)or Work Days(wo W- <br /> 916-637-8338Below <br /> o oa <br /> I I <br /> Phone TATTie tfromeow <br /> 916-637-8338 Bl <br /> 916-637-8321 FAX 2 weeks I <br /> Project Name.Phase II Environmental Site Assessment 1 week <br /> I <br /> Site- Nestle Direct-Store Delivery Company 2 days a = g <br /> du � <br /> V 720-53958 Ghaln of Custody {urst <br /> P 0#SAC139 1 day <br /> w o <br /> Sample Sample Sample a or ��� 4 <br /> Sample Identification Date <br /> Time type Matrix couL p p o .r F Sample Specific Notes: <br /> a <br /> x. ; '.y s. tv� � j- i�?15 2.1 �ZrL� I jL;! �►- X HAI <br /> z0t-SiiI r`ilG 5 y <br /> t�,A 1�'tS��l} ,vlr1e t Lz <br /> - <br /> �; 41-;i I I! t `t,. lk <br /> br-W IS <br /> Preservation Used: 1—lee, 2=HCl; 3=H2SO4; 4=HNO3; 5--NaOH;6=Other :ft <br /> Possible Hazard Identificarian Sample Disposal(A roe may be assessed it samples are retained longer than 1 monfh) <br /> Non-Hazard Flammable Skin Irritant Poison 3 Unknown] I=Retum To Client Disposal By Lab Archive For Months <br /> Special fustractionsiQC Requirements&Comments: <br /> ro <br /> } Date/T' d irtey Receiveby: Company- ate ime <br /> Relinkv' <br /> quished �-} <br /> Company:I idJ <br /> W Relinquished brQ y: Company: Date/iune`� Reeened by Companv Da[ /e/ <br /> 7'�7- 4— /'1— /�� <br /> 0 <br /> W Rehnqu:shed by: Company Date/Time. Received by: Company: ate lime <br />