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TestAmerica San Francisco <br /> 0 <br /> 00", 9 <br /> 1220 Quarry Lane N <br /> Cham of Custody Record �estAmerica <br /> °' <br /> Tail::.EAf)ER IIV Et��fRO�,`i✓ATA�TESTlP:G O <br /> Pleasanton,CA 94566 j�'�••l�c <br /> phone 925 484 1919 fax 925.600 3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: BinayakAeharva Site Contact:Mark Czipka Date: L t ) COC No <br /> Environmental Cost Management Inc.(ECM) Tel/Fav: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM — _ ofd_COCs <br /> 3525 Hyland Avenue, Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work bays(W) <br /> (714)662-2759 Phone TAT if different riom Below <br /> (714)662-2758 FAX © 2 weeks SDG No <br /> Project Name. Nestle © I week � <br /> Site: Ripon,CA © 2 days <br /> PO# © 1day <br /> 9, tl' <br /> Sample Sample #or a O <br /> Sample Identification Date Time Pares. Matrix Cont Sample Specific Notes <br /> RC-1 1!113 OJC,It,Z HCl H2O 3 X <br /> 1051 Robert : HCl H2O 3 X <br /> 7717 Kiernan �l4 HCl H2O 3 X <br /> ti <br /> 5724 Hall 3'.,JO HCl H2O 3 X <br /> 0 <br /> 790 Kiernan ; HCI H2O 3 X U') <br /> LO <br /> 7971 Kiernan ink HCl H2O 3 X <br /> CO <br /> 110 Manley ;,'u' HO H2O 3 X _ <br /> 361 Parallel 091-�'� HCl H2O 3 X <br /> RPS-1 {, HCI H2O 3 X <br /> RC-2 A HCI H2O 3 X <br /> Preservation Used: 1-Ice, 2=HCI; 3-H2SO4; 4-HNO3; 5-NaOH;6=Other_ <br /> Possible hazard Idennftearlon Sample Disposal(A fee may he assessed ifsamples are retained longer than 1 month) <br /> ® Non-Hazard ©Fiammable 0 AM Irrnartl poison 8 © Unlomown © ©Return To Client ®Disposal By Lab =Amhwe For Months <br /> Special Instructions/QC Requirements&Commeafs: NO GEOTRACKEIL <br /> Relinquished by. t Company Environmental Cost Date/Time: Received y: Company Date7ime <br /> P( tl Management,Inc_ IC41IJ s v <br /> kN, 17 <br /> Reltnqui 0 by: ompany., DatetTmie: R Company- Datc ime. <br /> ' `��-� • '� � 3 � �r� � ��� <br /> Relinquished by Company DateiTime RZe-i by Company- Date/Time- <br />