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TestAalaerica San Francisco <br /> 7 • Zcl viol <br /> Q <br /> 1220 Quarry Lane T st med <br /> Cain of Custody +ecoc M .r— :rte <br /> THE LEADER IN ENWRONh1EN'TAL 1EaTING <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 fax 925.600.3002 TestAllterica Laboratories,Ine. <br /> Client Contact Project Manager. Binxyak Acharya Site Contact:Chris McCormack Date: COC No: <br /> Environments)Cost Management Inc.(ECM) TeVF= (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM 7=0f 7Z7 COCl <br /> 3525 Hyland Ave Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) C <br /> (714)662-2759 Phone TAT ifdifferent from Below <br /> 214)662-2758 FAX V-1 2 weeks � SDG No. <br /> Projeci Name: Nestle © 1 week /? <br /> !`/, rd <br /> Site: Ripon,CA © 2 days <br /> P 0# 3410 © 1 da <br /> W <br /> Sample 0 of <br /> Sample,Identification Sample Date Time Pres. Matrix Cunt Sample S zcifis Notts: <br /> T$-080410 8/412010 16:54 HC1 H2O 2 X <br /> M-28C 814/2010 16:23 HCl H2O 3 X <br /> 0 <br /> N <br /> 4-I <br /> O <br /> rn <br /> N <br /> U) <br /> a <br /> Preaervation Used: 1=lee, 2=HCI; 3=H2SO4; 4=HNO3; 5=1NaOH;6=Other <br /> Possible Hazard Identrf req&H Sample Disposal(A fee maybe assessed I samples are retained longer than I month) <br /> Van-Hazard = Flammable © Skim Irritant Polsor9P UTA-1rowp ©RBturn To Cller7t �Disposal By Lab © Archive For Months <br /> Special InstruetionslQC Requirements d Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished byCompany:Eutyronmfntal Date/Ta a: S Recei�zd by: Company:Test An €ica Datzt " z: /" <br /> Cost Management,Inc. S � !' � � C 1✓ F_ ,,ltd <br /> Relinquished by: V V L.,- Company: Dated ime: Receby: Company: D telTirae <br /> Re1i ti-hed by: Company: DaWrime: Received by: Company: Dates Time: <br />