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Tes&Awerie tau FranciscoChain of Custody Re Zo • 3o � Tstdc <br /> 122()Quarry Lam z <br /> THS LEADZR IN ENVIROMM -NTAL TI=STING <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 fax 925,600.3002 TestAmerlea Laboratories,Ina <br /> Client Contact Project Manager: Binoyak Aebw7a Site Contact:Chris McCormack bate: )--7-1 COC No: <br /> Environmental Cost Management Ina(ECM) Tel/Far. (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnamund Time Job No. <br /> Costa Mess,CA 92626 Calendar(C)or Work D s M: C <br /> (714)662-2759 phone TAT if different£row Below <br /> (794)662-2758 FAX 2 weeks SDG No. <br /> Project Name: Nestle I week <br /> Site: Ripon,CA 2 days 4 <br /> PO# a <br /> 1 day a N <br /> Sample Not a 11- 0e <br /> Sam ie identification Sample bate Time Pres. Matti, Coni Sample Specific Notes: <br /> 802 VERA EFF f�:t 0 bone HO l X fePt53 S' dttr <br /> 802 VERA ivhD None 1i3O l X 5 JC �- <br /> 802 VERA INF ,{� 7q None H2O 1 X � j j LO <br /> N <br /> 44 <br /> O <br /> M <br /> N <br /> N <br /> fr <br /> ro <br /> a <br /> 0& MJL <br /> Presarvation Used; 1=1ce, 2=HC4 3=WSO4; 4=HNO3; 5=NaOH;6=Other <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than f month) <br /> M Nair-Hazard = Flammable © Skin Irritant Poisotp Unknow Return To Client Disposal By Lab © Archive For Months <br /> Special Instructions/¢C Requirements&Comments:Nb GEOTRACKER <br /> Relinquished by: Company:Fn4iroamental Date;Time: lq;5z Receiv y: Company:Test America Daaw ime: <br /> Cast mwftgement,luc. Q Z7 T <br /> q ' b V Co y: ZzZo <br /> Receiv Company: T3a#e(I'ime: <br /> i Z -10 <br /> Relinquish Company Date1Time: Received by: Compzny: ate rime: <br />