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IZO w I Z(-Z-7-�j <br /> TestAmerica San Francisca TestAmerica <br /> 1220 4]uarTy Lane <br /> Chain of Custody Record THE LEROER IN ENVIRONMENTAL TESTING <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 Fax 925.606.30[12 TestAmerica Laboratories,Inc. <br /> Cdent Contact Project Manager: Bmayak Arharya Site Cantact.Joey Pare Date: I CDC tie: <br /> En vi mnnmental Cost Management Inc.(ECM) T&Fax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM _--__L__ of^L CDCs <br /> 3525 Hyland Ave Suite 206 Aaal sin Turnaround Time Job No. <br /> Costs Mesa,CA 92626 Calendar(C)or Work Das(w): W <br /> (714)662-2759 Phone CAT If dineeent from$Clow 0 <br /> (714)662-2758 PAX © 2 weeks 2 SDG No. <br /> Project Name: Nestle 1 week m <br /> Site: Ripon,CA 0 2 days <br /> P O# 1 day B w <br /> w <br /> Sample u of <br /> Sample Identification Sample Date: I ime Pres. Magri% Cont. — Sample Specific Notes: <br /> 5OA- 4 Jj-L-f� t2118 109 l <br /> I 2 , 5 I' 2L' 132,2 2 k <br /> M 52 1 - f 2- <br /> A j[ <br /> I [ 71 IJi &9*W �- <br /> Preservation Used: 1=lee, 2=HCI; 3=H2SO4; 4=HNO3: 5=NaDH;6=Other <br /> Possible Hazard ldenrifmation {{----�� Sample Disposal(A fee may be assessed if samples are retained longer than f month) <br /> 1] .Von-Ha:ard 0 Flapwnabie E71 Skin h•rirani Po!sa>`a t i�7�zo+i� ©Retum To Client �Disposal By Lob © Archive For Months <br /> Special instructionslQ('Requirements&Comments: No Geolrarker <br /> y �4 <br /> Relinquished by: Company:Emironmemal Dalt Time: Received by: Company:Test?tmerica Date Time: <br /> Cost Manapment,Inc. pbjb� d'.�)(9 1 <br /> Relinquished by: Company: Daterfeme: Received by: Company: Date Tune: <br /> Relinquished by: Company: DsteJTime: Received by: Company: Dat�Time: <br /> Page 25 of 26 <br />