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7gX 'o '��LV L+7 <br /> TestAlmerica San FranciscaT 5 Ica <br /> 122©Quarry Lane <br /> Chain of Custod1T Record THE LEAD€R IN ENVTROh?iENTA�11�$TIIIG <br /> Pleasanton,CA 94565ff�j?164 <br /> phone 925.484.1919 fax 925.600)3002 TestAmerica Laboraro�'�,lets <br /> Client Contact Project Manager. Binayak AeBarya Site Contact.-Chris McCormack Date- 'z-,-1 COC No; <br /> Enviranmentai Cost Management We.(ECM) Teffax: (653)255-1693 Lab Contact:Dimple Sharma Carrier- ECM of COC, <br /> 3525 Hytand Ave State 2007 Analysis Turnaround Time Job No. <br /> Costa Mew,CA 92626 Calendar(C)or Work Das(W): C <br /> (714)662-2759 phone TAT i£d&reutfonBelow El(714)662-2758 FAX 2 weeks SDG No, <br /> Project Name: Nestle © I week <br /> Sits: Rtpon,CA 2 days <br /> Pot © 1day <br /> Sample sop ❑ <br /> Sample Identification Sample Date Time Pres. Matrix Coat. a � Sample 5pecifrc Notes: <br /> �j 7501 KIERNAN 20 08 EFF � ��;� HC1 H2O 3- X <br /> �] 7501 KIERNAN 2fl081 D j J 1057-- HC1 H2O 3 X ❑ <br /> 802 VERA EFF 1'9 110H20 3 X <br /> 802 VERA MID ! HC1 H2O 3 X <br /> Preservation Used: 1=Ice, 2=HCI;3=H2SO4, 4=11NO3; 5--NaOH,G=Ether <br /> Possible Hazardidenfi icatianSample Dlspasrti(A fee may be assessed if samples are retained longer then f month) <br /> rx-1 hoer-Hazard Ej Flammable © 5kin hi irarvt FoisorF�'3 1".kiroi"Yi"""`�—[ -o Client Disposal By Lab © Archive Icor Months <br /> Special Instructions/QC Requirements Comments: NO GEOTRAC KER <br /> B <br /> f <br /> Relinquished by: Company:Environmental Da€z�/Ti€ne: ZZe Recei'ed by: Company:Test America Date-Time: <br /> Cost ManaWment,Inc. !3;r-Jzr <br /> Relinquished by. Company: Datrlfime: Received by: Company: Date Time: <br /> Relinquished by: Comgarry ate7l vne: Received by: Co>:npany: Daty Time: <br /> Page 34 of 35 08/05/2011 <br />