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IcKo •No <br /> n <br /> ca <br /> TestAmerdca Salt Francisco � S� <br /> 1224 Quarry Lane .. <br /> Chain of Custody Record THE LEADER IN ENVIRON�.IENTAL TESTING <br /> Pleasanton,CA 94566 e1 TestAtner ica l=aboratories,Inc. <br /> phone 925.48 t.1914 fax 925.640.3442 COC NO: <br /> Client Contact Project Manager: Rlnayak Acitarya <br /> Site Contact-,Chris ASeC©rxt+aek Yate: <br /> 851 255-1593 Lab Con t'.Dimpie Sbarma Carrrer. ECM_ of COCs <br /> Environmental Cost Management Inc.(FCM) Te11Fax. ( ) Job No. <br /> c 3526 Hyland Ave Suite 280 Anatgsi s Turnamimil Time <br /> Coat.Mesa CA 92626 Calendar(C)or Work Days(W): C <br /> {714)652-2758 phone TAT iidarentfrom Below SDG No. <br /> (714)882-2758 FAX © 2 weeks <br /> Project Name: NestEe © I Nveek <br /> Site: Ripon,CA 2 days <br /> Z i i c) Z t 6 c <br /> Sample it of s <br /> Sam to Da Time Pm. Matrix eo�a w Sample Specific bates: <br /> Sam to Identification P <br /> ��'� �:3 HCl H2O <br /> l� 0-705 36 HCl H24 3 X <br /> HCl H203 X <br /> (D <br /> HCI H2O 3 X <br /> (®� (}' � HCl H2O 3 X <br /> CY)o Qo <br /> I� �� L HCi H20 3 X <br /> (� 5 HCl H2O 3 X <br /> w <br /> HCl H2O X <br /> HCl H2O 3 X <br /> qCl HClH2O 3 X <br /> Preservation llsed: If lee, 2=HCl,3=II2SO4; 4-HXO3; 52802;Sw other <br /> Possible HrrEarrlldent+frcatfort Sample Dlsposaf{A fee may be assossed it'sempies are refaWed longer Man 4 month) <br /> CC] Xbn-Hazard Q Flammable C:3Skim Irritant Poisor a G'n6nmv ©RBfuln To Cfiettf Q Disposal 6y Lab Archive For Months <br /> special Instructions/QC Requirements&Comrtteuts: REPORT DATA INI EDF FORMAT GLOBAL ID SL2050I2989 <br /> Company:Environmental DateIT e: JR <br /> y: Cotngan}=:Test America lea 'T'Cos#SVlan zwwnt,Ina. `7 �2 !C) Relinquished by: Company: DateJli<rte: tt <br /> ivedb : Company: DatePl'i¢ne:f - Relinquishes€by: Company: BatrT1 ime: Receiwed by: <br /> Company. ime: <br /> CD <br /> e nn n = n <br />