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TestAmuerica San Francisco Wo e..,7qq I/ <br /> t c <br /> 1220 Quarry Lane W?- <br /> Chain of Custody Record TIQeI.EALILN IN ENVIRONn,e41AL TESTING <br /> Pleasanton,CA 94566 <br /> hone 925.484.1919 fax 925.600.3002 TestAmerica Laboratories,Int. <br /> Client C001100Project Manager: BinayakAcharya Site Contact:Chris McCormack Date: ( ( COC \o: <br /> E=nvironmental Cost.Management Inc.(ECM) Tcl/Fax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM I of= COCs <br /> $525 Hyland Ave Suite 200 Analysis Turnaround Time .rob No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Das(W): C [i <br /> (714)662-2759 Phone TAT if diftmnt from Bolow a1 <br /> (714)662-2758 FAX © 2 weeks SDG No. <br /> Projeot Name: Nestle D t week c�a <br /> Site: Ripon,CA © 2 days ' <br /> P O# © i day <br /> Sample #,f <br /> Sample Identification Sample Date Time Pres, Matrix Coat. Sample S ccifiic Notes. <br /> E2&E6EFF HC1 x,a 3 X <br /> w <br /> 0 <br /> EU3&Eil4MlD2 �f �a op,:aOS HC1 Hi,O 3 X <br /> tr <br /> ro <br /> a <br /> TB <br /> tai f7.1 I zI1t� 07�Y�. �Ic1 x,o 2 X <br /> Preservation Used: 1-Ice, 2=HCl; 3=HZS04; 4=HNO3; 5=Na0IT;6=Other. <br /> Possible Hazard Sample Disposal(>c1 fee may be assessed if samples are retalned longer than 1 month) <br /> 10 Dan-Hasa€•d © Flammable © Skin lmlta�€f Poho.j UnknmvP. MReturri To Client Q Disposal By Lab ©Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished by: Company:Environmental Da !Tune: cc by: Company:Test America Dat rTi€ a: <br /> Cost management,Inc_ <br /> Re y: Com ,y: atelT' e: R Co Datelf{in€e: �y <br /> Relinquished b : Company: DatedTime: Received by: Company* Date/Timo: <br />