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TestAmerica San Francisca (AP472./ <br /> T <br /> 1220 Quarry Lane 5 .� e�dea <br /> � :Chair of Custody Record THL LEADER IN ENVIRONMENTAL TESTING <br /> Pleasanton,CA 94566 <br /> phon.525.484.1919 fax 425.600.3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Manyalt Acharys Site Contact:Chris McComack Date: 7 Z Z CAC NO: <br /> Environmental Cost Managetnent Inc.(ECM) TeVFax: (661)255-1643 Lab Caatact:Dimple SharmaCarrier; ECM of Cocs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No, <br /> Costa Mew CA 92625 Calendar(C)or Work Days(W): C ❑ <br /> (714)882-2759 Phone TAT if Matew from BOW RS <br /> (714)882-2758 FAX 0 2 weelss SDG No. <br /> Project Name: Nestle Q I week <br /> Site: Ripon,CA d 2 days <br /> P O# 1 day g <br /> Sample W <br /> ❑ <br /> Sample Identiilcatim Sample Date Time PMms. Matriz Sample Specific Motes: <br /> MW-5 7IT11I1 07 SO HCI 1120 3- X ❑ <br /> MW-1I NONE H2O 3 X <br /> Preservation Used: 1=Ice, 2=HCI; 3-H2SO4; 4=HNO3; S-NaOH;b=Other <br /> Passible Hazardldendfrcutian t—� t—� Sample Disposal(A fee may be assess ff samples are retained longer then I month) <br /> Non-Hazard © flammable © SA-m Irritant PoisalUnb.,P ©Retum To Client Q Disposal Ey Lab ©Archive For Months <br /> Special InstrucdonslQC Rega9rements&Comments: REPORT DATA 1tNT EDF FORIMAT GLOBAL IR SL205012989 <br /> e <br /> Relingtrished by: Company:Emironmental Datet7ime: c Received bv: Company:Test America Date/Time: <br /> Cast Management,Inc. 774" -tl <br /> Rehngnmlwd by: Company: atelTime: Received by: Company: DaWFime: <br /> I2eliagursfted by: Company: elTune: Received by: Company: Datefrftm <br /> Page 31 of 35 08/05/2011 <br />