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❑ ❑ EE WE <br /> CD <br /> TestA merica San Francisca' 07Z�>,- zO Test <br /> 1224 Quarry Lurie ,. :...�. N <br /> Chain of Custedy Record <br /> THE LEADER IN ENVIRONMENTAL TESTING � <br /> Pleasanton,CA 94566 0 <br /> phooe925.484.1919 fax 925,600.3002 TestAmerica Laboratories,foe, <br /> Client Contact Project:Manager. Bieayak Acharya site Contact Chris McCormack Aare: - j% COC ATo: <br /> Environmental Cost Management Inc.(ECM) TeliP=,. (662)255-1693 Lab Coe Dimple Sharma Carrier. ECM of COCl <br /> 3525 Hytand AveSdte 200 Analysis Tmnaronad Time Job No. <br /> Costa Mesa.CA 92526 Calendar(C)or Work Rays M: C- <br /> (714)682-2759 <br /> (714)662-2759 Phone TAT if different from Below ay <br /> (714)662-2758 FAX 2 weeks SDG No. <br /> Project Name: Nestle i week <br /> Site: Rip=,CR © 2`lays <br /> PO# © lday <br /> Sample s <br /> Sample lden04e8tio6 Sampk Date Time Pres. Matrh Caen I Sam le Specific Dotes: <br /> RPS 114/11 15:45 HC1 HO 3 X <br /> O <br /> O <br /> Lr) <br /> N <br /> t� <br /> t� <br /> d <br /> Preservation used: I=Ice, 2=HCl; 3=R2SO4; 4=H1NO3, S NaOH;6-(Ither <br /> Possible Hazard IdaWleorlonl3 Sample sposal(A fee stay be assessed Itsamples are retalned longer then 7 month) <br /> A'on-Hazard © Flmn:nable © Skin Irrirarn Poesoi;3 Unkno,vi�"''{---� c:3F2 tum To Client pispo$al By Lab Atchivo For Months <br /> special InstructionsfQC Aegairements&comments: No Geotraeker <br /> Relinquished by: Company' Esnironmentd DateiT tvad : _ Company:fest America DatefTt%e: <br /> Co A lat>agement 1nZ. f I l 0�,Yf S — l - I/ '' <br /> Relinquished by: Company ime: Pi <br /> ved Company: DaleJ'Time: <br /> Relinquished by: Company: DatcvTirne. Received by: Company: Daw1rime: <br />