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s <br /> ` estAmerica Sall Francisco � � <br /> 1220 Quarry Latte <br /> tAmehca <br /> Chain of Custody Record ecoid THE LZI')ER IN ENVIRONMENTAL TESTING <br /> Pleasanton,CA 94566 <br /> phone 925.484,1919 fax 925.600.3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager. Rinayak Atharya .Site Contact:Chris McCormack Date: CCC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)255-1593 Lab Contact:Dimple Sharma Carrier. ECM of COCs <br /> 3525 ftland Ave Suite 200 Anaiysls Turnaround Time Job No. <br /> Costs Mesa,CA 92626 Cakndc r(C)or Work Days : C <br /> (714)662-2759 Phone TAT if Wrerent Wpi Below to <br /> (714)662-2758 FAX 0 2 weeks SDG No. <br /> Project Name: Nestle p 1 week <br /> Site: Ripon,CA © 2 days m <br /> PO# D Iday a d <br /> a w <br /> az <br /> t� 6 <br /> Sample #oY O Z "i s 2,6Z <br /> Sam le Identification Sample Slate Time Pres. Matrix Can# � Sample Specific Notes: <br /> - <br /> 26 C 1. HC1 H2© 3 x <br /> :v <br /> N <br /> O <br /> W <br /> Preservation Used: 1=lee, 2T HCI, 3=II2SO4; 4=HNO3; 5--NaOH;6=Other <br /> Possible Hazard Identification Sample Disposal(A fee Wray be assessed if samples ata retained longer then 9 month) <br /> Kj Eros:-Hazard © Flammable © Skin Irrrtmrr poisorFa-3 Urrdzyowp ©Return To Client �Disposal By Lab © Archive For Months <br /> Special InstructionslQC Requirements&Comments: REPORT DATA 1N EDF FORMAT GLOBAL ID SL205012989 <br /> ReUnquisha by: Company.Environmental Datc/Tim: e by: Company:Test America pates e: <br /> CostManagerttent Inc. 7 ��11 7/17/ <br /> 0gf)b <br /> Reirt:quished by: Companyy: Date!'ime: Receiv y: Company: DatdTiate: <br /> 0 <br /> 00 <br /> Rehnqtts ed by: Company: Dateffim : Received by: Company: Datel'T True: <br /> N <br /> O <br /> e nn n n <br />