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TestAmerica San Francisco p o <br /> �^ � N <br /> 1220 Quarry Lane LO <br /> Chain <br /> s Custody <br /> ]p�a/�g. 1 Q N <br /> Chain o1 Custody Record nca I.EADE4 EN ENVER0`04EWAL TESTING N <br /> Pleasanton,CA 94566 <br /> phone 925 484 1919 fax 925 600 3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acbarya Site Contact:Chris McCormack Date: (,?-//— COC No <br /> Environmental Cost Management Inc.(ECM) Tel1F= (661)2$5-1693 Lab Contact:Dimple Sharma Carrier: ECM 7r2of CDCs <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 TAT if different from Selo, _ <br /> (714)662-2768 FAX ® 2 weeks b SDG No <br /> Project Name: Nestle d 1 week <br /> Site, Ripon,CA 2 days n <br /> PO# lday <br /> Sample <br /> [s <br /> p <br /> Sauzple Ideotidication Sample Date Time Pres. Matrix LOT Sample Specific Notes <br /> HCl H2O 3 X UJ <br /> M-/O ( ® l.(( 1101 H'-0 3 X <br /> 0-10 5,53 HCl H2O 3 X LO <br /> ti <br /> l� <br /> (6;00 HCl H2O 3 X <br /> 0 <br /> HCl H2O 3 X <br /> HCl 1420 3 Xj a> <br /> - <br /> 16-37 HCl H2O 3 X (} coo <br /> �✓]- jl`�:If5 1-1C1 H2O 3 X <br /> - I/Y 50 HCl H2O 3 X <br /> ;5;6 HCI H2O 3 X <br /> ( 7; 140 120 3 X 12 <br /> 17',10 HCl H2O 3 X <br /> Preservation Used: 1=Ice, 2=HCI; 3=H2SO4; 4--MN03; S=NaOH;6=Otber <br /> Possible Hazard Idenrifica8onSample Disposal(A fee may be assessed ifsamples are retained longer than 1 month) <br /> ® Nor,-Ha-ard =Ilamniable © %n Irritant Poison B© Unknown � Return To Client KIDisposal By Lab Archive For Months <br /> Special instructions/QC Requirements&Comments: REPORT DATA IN FDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished by: Company Environmental Dateftinie Received Company-Test Amenca DatetTtme= <br /> Cost Managemeni,Inc �lJ /�f� j le, <br /> Relinquished by Company DatwTime: Rece ed b : Company, Daterlime, <br /> Relinquish Company Daterrimc Recei r <br /> d by Company Daterllme <br />