Laserfiche WebLink
'T'estAmerica San]FranciscoIr �" t cao <br /> 1220 Quay I ane N <br /> Chain of Custody Record YFG.EAOEQ N ENv1RQNMEN-AL TESTING N <br /> Pleasanton,CA 9456(5 o <br /> phone 925 484.1919 fax 925.600.3002 TestAmeriea Laboratories,Inc. <br /> Client Contact Project Manager: Ainayak Acharya Site Contact:Chris McCormack Date: to 11-13 COC No <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of COOS <br /> 3525 Hyland Ave Suite 290 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work bays(W): C <br /> (714)662-2759 Phone TAT ifdifferent&om Below <br /> (714)662-2758 FAX ® 2 weeks a SDG No <br /> Project Name: Nestle © I week r <br /> is G7 <br /> Site Ripon,CA © 2 days d. N <br /> PO# © Iday <br /> h p" <br /> Sample <br /> V <br /> p <br /> Sample Identification Sample Date Time fres. dvlatrix Coat. Sample Specific Notes 1 <br /> M-32-8 //�� � iz:�f� HC1 H2O 3 X 13 <br /> 'JXA Dup 6 17—;"t 7 HCI H2O 3 X <br /> HCI H2O 3 X <br /> ti <br /> -3� U f 'l3 HCl H2o 3 X h, o <br /> j3:Z?:Z$ HCl H2O 3 X 00 <br /> --3,0- )� �� HCl H2O 3 X <br /> M . 3;qz) HCl H2O 3 X - A a <br /> ,41- �/ )3 ;Sq HCl H2O 3 X <br /> jq:013 HCl H2O 3 X �} <br /> -� �14rl6 HCl H2O 3 X <br /> 1-1;31 HCl H2O 3 X <br /> M-11 D f"/;qz HCl H2O 3 X <br /> Preservation Used. I=Ire,2--HCI,, 3=H2SO4; 4=HNO3; 5=NaOH;4=Other <br /> Possible Hazaird Iden tificarion Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> © Non-Hazard = Flammable © Skni Irruairt Poreon B© Unknown � =Return To Client ®Disposal By Lab =Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012939 <br /> Relinquished by Company-Environmental DatelTime: Recety b Company-Test Amen" Date €me: <br /> Cost Management,Inc � -0 t <br /> Rehnqu€shed by. Company Date Time- Rece ed by Company. Date/Time <br /> Relinquished by Company- DatelIlme Rece€i d by Company Daterrime <br />