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mono 4>��62 <br /> TestAmerica San Francisco � � <br /> 1220 Quarry Lane 9( strip <br /> Chain of Custody Record "He LEADER jr,,ENVIRONMENTAL TESMIG <br /> PleasattM CA 94566 <br /> hone 925.454.1911 fax 925.600.3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharya Site Contact:Chris Mccorma& Date. 01:1) 0-7 0 COC No: <br /> Environmental Cost Management Inc.(ECM) TdTax, (661)255-1693 uh Contacts Dimple Sharma Carrier. ECM of _ COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar C)or Waris Da s C <br /> (744)862-2758 Phone TAT if different from Below <br /> (714)662-2758 FAX 2 weeks SOG No. <br /> Project Name: Nestle © 1 week <br /> Site Ripon,CA C# 2 days <br /> PO# Iday 8 <br /> a � <br /> Sample Not <br /> Sample Identification Sample Date Time Pre&. Matrix Coat. r Sample Specific Notes: <br /> 7501 K ERNAN 2009 Mfl3 None H2O 1 X <br /> 7501 KWRNAN 2008 INF { None H O 1 X LO <br /> `��3 <br /> 4a <br /> O <br /> M <br /> r-I <br /> 5725 HALL 2009 hM 0 q 0711'0 •�� None HO 1 X N <br /> U) <br /> 5725 HALL 2009 INF None H10 I X td <br /> a <br /> Preservation UwA- 1=lee, 2=HCl-, 3w H2SO4; 4=HNO3; S=NaUH;6=Other <br /> Possible Hazard Identifrearfon r-� Sample Disposal(A fee may be assessed If samples are retained longer than 1 month) <br /> M Aron Hazard © Flammable = Skin Irritant =Return 7o client �Disposal By Lab ©Archive For Months <br /> Speeial Instruct€onslQC Requirements 8•Comments:NO GEOTPuCKER <br /> ReUquished by: Company:Environmental Dat f1•' e: Receive by: Company:Test America Dat, ime: <br /> Cost lvlanagement ln0. <br /> Relinquisfted by: Company: Date/Time: Received by: Company: DateJTime: <br /> Relinquished by: Company: Date1Time: Received by: Company: DatefTime: <br />