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t� <br /> TestAmerica San Francisco ° ' <br /> estAmenc <br /> 1220 Quarry bane Chain <br /> !�j'f'� $ <br /> Chain o CFust® � Rei THE LEADER jN ENV€RONMENTAL TESTING <br /> Pleasanton,CA 94566 <br /> hone 925.484.1919 fax 925.600.3002 TestAmerira Ljaltoratories,Inc. <br /> Client Contact Project Manager: Biutayak Aeharya Site Contact:Chris McCormack Date: —!v COC No: <br /> Environmental Cast Management Ino.(ECM) Tel/Fax: (661)255-1643 Lab Contact:Dimple Sharma Carrier: F'Cm of Coos <br /> $525 Hyland Avenue, Suite 200 Analvais Tumaroand Time Job No. <br /> g � <br /> Costs Mm,CA 92626 Calendar(C)or Work DaysLD � W <br /> e~ <br /> (714)662-2759 Pbone TAT if different from Below <br /> (71 1)662-2758 FAX ® 2 wee#ss SDG No. <br /> 04 <br /> Project Name: Nestle O <br /> 1 3 week <br /> Site: Ripon,CA D 2 days m $ <br /> P 0# tR © 1 may. i " . <br /> Sam 1eIdentffication Date Time Pres. lliatt[x nofCant � �� � � Samples eciftcNotes: <br /> 13`q® HC1 H2O 3 VOA x <br /> f" none 11,O 1-500 m! <br /> Sn! x <br /> .. 'WO3 H2O 1-250 <br /> ml x x <br /> 2 to <br /> I32S0, H2O 1-Doh. x x PH= Temp Ja c 44 <br /> �✓ o!c <br /> 4-I <br /> HC1 H2O 3 XTOA X O <br /> co <br /> none H2O 1-5111D ani X to <br /> oh <br /> 1-2Do ml N <br /> x <br /> W4;03 H2O X 0)w a�. rd <br /> a <br /> H2SO4 H2O ole'i-DOo m1 x X PH-- 7, 5' Temp=,,',). °C <br /> HCI H2O 3 NIOA I x <br /> stone 1120 1-50 x <br /> mx% H2O <br /> 1-250 x x <br /> H2SO4 H2O ml x x p11= Temp= °C <br /> VAN <br /> Preservation Used: 1=Ice, 2=HCl; 3=H2SO4, 4=HNO3; 3=NaOH;6=Other <br /> Possible Hazardldenfiftcation Sample Disposal(A fee may beea�assessed If samples are retained longer than 4 month) <br /> xn^ 1\on Hazard © Flammable © Skin lr'rltont Poison B © Unbronp ©Return To Client `Uposal By Lab 'ahlve For Months <br /> Special Instructions/QC Requirements&Comments: R.>I'£i]Z"1't3; 'i'�1 I:I?t 1 Csliti:�i'E,I:E313:L.193 5I.2t1A13#x 3 <br /> Relinquished by: Company:Environmental Cost Datwrime: j: � Rec -ed b, Co v, Trate' inx <br /> Management,Inc" 0-3v `t"� ?'s 3 to 0 Ryi` <br /> by: Co y: Date/Time: eceived by: t Company: D �jp- <br /> R!Dk <br /> '�b <br /> T I <br /> P.bnquishsd Company: Date/Time: Received by: Company: DatelTirzae: <br />