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❑ F-1 Ll Ll e p <br /> TestAilierica Sass Francisco � 30 T S A is O <br /> 1224 Quarry Lane LP Lk7z gy■■ ¢�y p sr rte,: q r .ny ; c N <br /> Chain �laS Qf�E Record THE LEADER IN ENVIRONMENTAL TESTING LO <br /> Pleasanton,CA 94566 O <br /> phone 925.484.1919 fax 925.600.3002 Test.ALmersea Lab ra ones,Inc. o <br /> Ckeat Contact Project Manager: ftuayak Acharys Site Contact:Chris McCormack Date. COC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)255.1593 Lab Contact.Dimpte Sharma Carrier. RCM of [QCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No. <br /> Costa Mess,CA 92626 Calendar(C)or Work Da (W): C <br /> (714)662^2759 Phone TAT if dUctent from Below <br /> (714)662-2758 FAX 2 weeks SAG No. <br /> Project Name: Nestle I week <br /> Site: Ripon,CA © 2 days m <br /> P O# © i day <br /> U <br /> sample not s Sample Specific Notes: <br /> Sample Identification Sample Date Time Pres. Matrvc Coes w <br /> MW-3 2 t Q 1 <br /> HCHO 3 x <br /> MW-7 01 dOATE 2O 3 x <br /> MW-10 HCH2O 3 x <br /> MW-18 HCl H2O 3• X <br /> Md0N(0N <br /> ?B- t HCI H2O 2 ` xtH <br /> HU t3 <br /> Preservation Used.- 1=Tee, 2=HCl; 3=H2SO4; 4=HNO3; 5=Na0H;6=Other <br /> PossibFeRazard identification r Sample Disposal{dt fee may be assessed Nsamples are retalnetllonger than 4 month) <br /> t� mol:-Hrzm-d © Flallma&le © skinhwiraltr Poiso+fs UrrbsoTvp mRetum Fo Client E]Disposal By Lab ©Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL2050I2989 <br /> �t <br /> Relinquished by: inpany:Environmental Date.gime: 7 Tec,�iivved by: Company:TestAmerica DateiTime: <br /> Management,lna_Relinquished by: Company: DstivTime: by mpany. Dateltittme:Relinquished by: company: ateme by: Company: Date/Tirne: <br />