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TestAntterica San Francisco } <br /> 1220 Quarry Lane f o <br /> Amedca N <br /> Chain of Custody Record rRF LEAoPR In ENV RQ?I:Et4-Ar-esT N <br /> Pleasanton,CA 94566 <br /> phone 925.484 1919 fax 925 600.3002 TestAmeriea Laboratories,Ine. <br /> Client Contact Project Manager: Bivayak Acharya Site Contact:Chris lieCormack Date: 10—0—(3 COC Na <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of CDCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job-No <br /> Costa Mesa,CA 92626 Calendar(C)or Worst Days(W) C <br /> (714)662-2759 Phone TAT if different fiom Belaw <br /> a <br /> (734)662-2758 FAX ® 2 weeks $ SDG No <br /> Project Name, Nestle O I week <br /> Site: Ripon,CA D 2 days <br /> y N <br /> PD# © 1day <br /> ta � <br /> Sample 40f o <br /> Sample Identification Sample Date Time -Pres. Matrix coot. iz I I I I I I I I I I Sample Specific]dotes. <br /> 11 <br /> �: �� HCl H2O 3 X <br /> -,?, ✓ /1 �; HCl 120 3 X <br /> Z HCl H2O 3 X <br /> — 77� HC1 H2O 3 X o <br /> HCl H2O 3 x <br /> HCl 1420 3 X <br /> HCl H2O 3 X CJI a <br /> 13:17 HCl X120 3 X <br /> ` 13� 14C1 H2O 3 x C7 <br /> HCl H2O 3 X. <br /> HCl H2O 3 X <br /> HCl H2O 3 x [ <br /> Preservation Used: I=Icc, 2=HCI; 3=H2SO4; 4-HNO3; 5--NaOH;6-Other <br /> Possible Hazard Idendfication Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® Nan-Hazard © }:laminable © Skin Irritant Poison B Unimown © =Return To Client ®Disposal By Lab Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished by: Company Environmental Dale/rime: Recero Company Test America Datelttme <br /> Cost Management,Inc <br /> Aetmquished b . CompanyDatetrime: R ivetl by' Company. DatefTime- <br /> 11)-I1-13 ^- � , !1 3 1 <br /> Relinquished by Company Date'rime lKcceiyed by Company Daterl'ime <br />