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Fd 1-1 1111 e <br /> TestA erica San FranciscoN <br /> 1230 Quarry Lane Aftu'.15M4 t <br /> estAmedc <br /> Chain of Custody Record <br /> T�--E LzAQE I,i=(d S'rRflE1F.�Cty:At TE57ENG Q <br /> Pleasanton,CA 94566 � � To <br /> phone 925.484 1919 fax 925 500 3003 TestAmerica Laboratories,.Inc. <br /> Client Contact Project Manager: Sinayak Acharya Site Contact:Chris McCormack Date: ICJ 1 COC No <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)25&1693 Lab Contact:Dimple Sharma Carrier: ECM ofd. COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Worts Days(W): C <br /> (714)662-2759 Phone TAT ifdiffermt Kom Below <br /> (714)662»2756 FAX ® 2 weeks SDG No <br /> Protect Dame Nestle Q I week <br /> Site- Ripon,CA © 2 days <br /> P O# C7 1 day <br /> d <br /> Sample d of <br /> Sample Identification Sample Date Time Pres. Matrix Cont I I A. Sample Specific Notes <br /> 7501 KIERNAN 200$MID i Ea 1 i(n = � None H20 I X <br /> 7501 KIERNAN 2008 INF " None H2O I X <br /> 0 <br /> V 'T <br /> 5725 HALL 2009 MID !.'''! ��:� Nona H2O I X tv <br /> 5725 HALL 2.009 INF ' None 1I20 I X tl <br /> 802 VERA MID None H2Cl I X <br /> 802 VERA INF �I, y None H2O 1 3; <br /> Preservation Used: I-Ice,2=HCl; 3 Ii28O4; 4--RN03; S=NaOR;6=Other <br /> Possible Hazard Identifrcation j Sample Disposal(A fee may be assessed if samples are retained longer than I month) <br /> ® N012-Hazard 0 Flammable Skin Irritant Poison B© Unknown EIReturn To Client ©Disposal By Lab ©Archive For Months <br /> Special InstructionslQC Requirements&Comments: NO GEOTRACKER <br /> Relinquished by Company:Environmental Datcq. t Receive by: Company Da€efl'ime <br /> " ) Cost Management,Inc f�t & � <br /> Relinquished by: Cmpany rn DateiTime a 'v y Company DatefI'i e <br /> Relinquished by" Company Date tae Re eived by o npany Date ini <br />