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Tesi<Ameriea San Francisco *" Test-An" <br /> 1220 Quany Lane <br /> Cham of Custody Record gl' E LEADER IN ENVIRONMENTAL IEESSS3.NG <br /> Pleasanton,CA 94556 <br /> phone 925.484.1919 tare 925.600.3002 TestA neriea Laboratories,Inc. <br /> Client Contact Project Manager. BinayaltAcharya Site Contact Chris McCormack Hate: COC No: <br /> Environmental Cost Management Inc.(ECM) TeUFas: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM = Of=CoCs <br /> 625 Hyland Ave Shite 200 Au*sis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Wort;Days M: C <br /> 2 , 6 <br /> C7141662-2759 Phone TAT Wdifferent from Below <br /> (714)662-2758 FAX 2 weeks SDG No, <br /> Project Name: Nestle (D I week <br /> Site: Ripon,CA F-1 2 days <br /> P O# © 1 day a <br /> v. <br /> Sample a� <br /> Sample Identification Sample Date Time Pres. hlattaa cans. ;x, Sample Specific Motes: <br /> 0 <br /> 44 <br /> O <br /> 0 <br /> N <br /> 5725 HALL 200911 �����(® ��'� HCl HO 3 X M <br /> ro <br /> a <br /> TB- 061.)(0 Slob HC1 R,O 2 x <br /> Preservalion Used: 1=Ice, 2=HCI, 3=H2504; 4=H1903; 5=NaOH;6=Other <br /> Possible Hazard Idenhfication Sample Disposal(A fee maybe assessed If samples are retalned longer than 9 month) <br /> -Hazm•d © Flammable © Slan Irritant PoisorFWD lark-,'' MRsturn To Client E3 Disposal BY Lab ©Arohive For Months <br /> Special instructions/QC Requirements&Comments: Na Geotracker <br /> Relinquished by: Company:Environmental DateMntc: by: Company:Tot America Dat <br /> Cost Management,Inc. '3hE3J'la o e <br /> Relinquished by: Company: DatrJ'1'ime: ed Company: DatetTirvc <br /> Relinquished by: Company: DaWrime: Received by: Company: DatelTinte: <br />