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TestAmerica San Francisco �� 10 ?PC(7S� 12- 613 <br /> a <br /> 1220 Quasiy L= Tesgg�am�®® Custody �gy ° _ n <br /> Chain of `ustod3 Record THE LEADER€V E\L'IRONPAEN7AL TESTI vG- <br /> Pleasanton,CA 44566 <br /> phone 925.484.1919 fax 925.600.3002 <br /> 3'estAmceiea Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharys Site Contact:Chris McCormack pate; j C©C Nw <br /> Environmentat Cost Management ine.(ECM) Teffax: (661)255-1693 Lab Contact:pimple Sharma Carrier: ECM of COCs <br /> 3525 fiyiand Avenue, Suite240 Analysis Turnaround Time Job No. <br /> Costa Mesa,GA 82$26 Calendar(C)or Work Bays(W) <br /> (714)662-2769 Phone TAT ifditferent from Below <br /> (714)662-2758 FAX ® 2weeks SDG No. <br /> Project Name: Nestle © 1 week o e <br /> Site: Ripon,CA © 2 days <br /> P O# lfi l day T <br /> amp a <br /> Sample Identification Date Time Pres. Nutria x oicos4 n d f Sample Specific Notes, <br /> 09 C57 HCI 11,0 3 FOA X <br /> none 1120 1-5OU nil X <br /> 100 1 250 ml X <br /> 3 2 ply, <br /> ValM <br /> 112So3 1120 1-500DOWX X pH= Temp- °C t` <br /> 44 <br /> net H'O 3 X 0 <br /> none 20 1-� X <br /> Dolly <br /> <O' <br /> H:Olample <br /> X N <br /> ' tT <br /> ro <br /> a <br /> H'So, Hao all X X pH= Temp= °C <br /> HCI HX <br /> e 1i ozH-'Lo3 FixeX <br /> F1z5©, floe X X pH— Temp=OLE Preservation Used: 1=Ice, Z=HCI; 3=H2SO4; 4=HNO3; 5=Na4)H;6=OtherPossible Hazard Idenrificafton mple Disposal(A See may be assesseo`i€sampies are retained longer than S month) <br /> ED tyon-Fla�ar�d © Flammable © Skin bwizanr Poison B © f""k, 'P ©Return Tp Client Uposal By Lab E;I hive PoY Wnths <br /> Special lnstraiMonsfQC Requirements&Comments: T2T,i f)It 3"9):3 i'l fi I;33i"Ff3R I;�I't i.C)k3.-41,!I)5[.?05€➢I29S) <br /> RelinynislIed.by: Company:Environmental Cos€ B74a <br /> ime: 13,`3j— Received by: Coma MterT' <br /> Management,Ina. o l� /0 <br /> Relinquished by:V Company: Daie/r6e: Received by: Company: Date/Time: <br /> eltttgnished by: Company: Dawrime: Roomed by: Company: DaWrime: <br />