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TestAmerica San Francisco MONO TestAmerica 1220 Q€rarry bane 7;W <br /> Chaim of Custody accord Tr+e 1-wA0VZ_W rIWIRONMENAl TtsTING <br /> Pleasanton,CA 94566 <br /> phone 925.484,1919 fax 925.600.3002 TestAmerica Laboratories,Inc. <br /> Mot Contact Project Manager: Binayak Acharya Site Contact:Chris McCormack Date: ^� �1D COC Io <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)255-1693 Lab Canted:Dimple sharma Carrier: ECM of C©Cs <br /> 5526 Hyland Avenue, Suite 200 Analysis Turnar and Time Job No. <br /> Costa Mesa,CA 92826 Calendar C)or Work Days(W) <br /> (794)662-2759 Phone TAT ifdiB'ereot Som Below a <br /> (794)562-2758 FAX ® 2 weeks SDG No. <br /> Project Name: Nestle 1771 weak M © e <br /> Site: Ripon,CA © 2 days g <br /> P A# IR p i day <br /> amp a amp v <br /> Sample Identification Date Time Pres. Matrix 9ofront. Sample Specific Notes: <br /> /i L; Q 17:to HCl H2O3 i'DA X <br /> {1 r � it7%w none H2O 1"500 ml x <br /> j✓ 1'7%00 H?�O3 h <br /> nH2O 1-250 x X <br /> CA <br /> -.3 j-:oo H2so, x2o -500, x x pH=�� Temp= r` <br /> w <br /> —L ¢7:® xcl -HO 3 c nA x <br /> 0 <br /> It f L 17 nolle H2O 1-5©0 no x <br /> olp � <br /> H.ro, x2o <br /> 1-250© '" x x ro <br /> I7 © w <br /> , p 1-500 ml y <br /> V f7;� H2sO1 H2O x x pH=7. I Temlr,��srpeC <br /> L-31C217` HCl 112() -oA x <br /> orfs x20 1" 0 mo <br /> 0 <br /> 1-250 ml <br /> IL O, o OW x <br /> H2so, —x2() <br /> , m1 x x DOW N pH= "Temp- C <br /> Preservation Used: 1=lee, 2=HCl; 3=WSO4; 4=HNO3; 5=NaOH;6=Other <br /> Possible Hazard JdendfrcafionSample DISposal(A;fee may by�e--a77ssessedifsamples are retained longer than 9 month) <br /> K3 Yon Razard = Flammable © Skin 1rr•irant Poison B Unnknou`Itp-� ©Rofurn To Client `�tkposel By Lab Chive Fon Months <br /> Special TnstructionslQC Requirements&Cnmtnents: 3{I;POIi'l'l):¢i'at.!N 1s33i�1�t31��1�1`l'f77..C7i3:ii..,ll)til.?(45t§l2�'!33 <br /> Relinquished by: Company:Environmental Cost DatelTime: :f ed by: Co any: Datei-T'U&A e: <br /> 1vlanagemeut imc. 13"I(-t-0 -�J CSS}'tiYYtiG.rTlc� �5 J l!� �t <br /> Relinquished by: Company: DatelTime: Rece Company: Datw Time: <br /> Relinquished by; Company: Dat&Time: Received by. Company: DaWTi me: <br />