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TestAmerica San Francisco -Amefica o <br /> 1220 Quarry Lane y, �y yp qn n�a��yy Lf) <br /> Chain of Custody Record TNc LEADER IN ENVIRUNMEN':AL 7EST€4:G O <br /> Pleasanton,CA 94566 j Lj g 3(O <br /> phone 925 484.1919 fax 925 600.3402 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharya Site Contact:Chris McCormack Date: 727- -( COC No <br /> Environmental Cost Management Inc.(ECM) TeWax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) C <br /> (714)662-2759 Phone TAI if different from Below <br /> (714)662-2758 FAX ® 2 weeks $ SDG No <br /> Project Name: Nestle L l I wmk <br /> Site Ripon,CA O 2 days <br /> m <br /> y At N <br /> P O# 1 day "� Q <br /> irx � <br /> sample unr O <br /> Sample Identification Sample Date Tm c Pres. Matrix Cont swg, Sample Specific Motes: <br /> T$- t®0$ lol jd:oo HC1 H2O 2 X <br /> WH- 10 I 10:i o HC1 H2O 3 X <br /> ,.2-0 /0,'313 HCl H2O 3 X L0 <br /> M- /0: 3j? HC1 H2O 3 X <br /> Of HCI 1420 3 X <br /> t sr 0 # ; 1101 H2O 3 X 1G a> <br /> M`3-a C HC1 H2O 3 X <br /> -fl-(—/-0 /f•`f7 HCI H2O 3 X <br /> HC1 H2O 3Ex <br /> 1L;J HO H2O 3 72,0-53006 Chain ai Custody <br /> -30 C z,_. ��,LZ. HC1 H2o 3�2.y� HC[ H2O 3 <br /> Preservation Used: 1-4ce, 2=PTCI;3=H2804, 4=HNO3, 5 NaOfl;6-Other <br /> Possible Hazard Identifrcadon Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® h'on-Hazard ©Flammable Skin Irritant po,so€r 8© Unknown © ©Return To Client ©Disposal By Lab ©Archive For Months <br /> Special Instructions/QC Requirements st Comments: REPORT DATA IN FDF FORMAT GLOBAL ID SL205012989 � <br /> Relinquished by: ff r Company Environmental Date/Time. Rece Company Test America DatelTime. <br /> Cost Management,Inc L� r/ I c J <br /> ROingmshed Company DatelT=e v y. Company: t]atemme <br /> t' 1 ® 1 _M1� t 1 3 <br /> k7finq­ws4edbyy:� Company Datefrime Recety d y Company- Datelr=e <br />