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TestAmerica San Francisco "7Z* aw <br /> �� �3 <br /> 1220 Quarry Lane Tast�4menca <br /> Chain of Custody Record „t LtAU_:,IN,NVI�O\W.`. <br /> Pkasanton,CA 94566 <br /> phone 925.484.1919 fax 925.600.3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharys Site Contact:Chris McCormack Date: COC No <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: [661]255-1643 Lab(,ontset:Dimple Sharma Carrier: ECM <br /> 660 Baker Street Suite 253 —Analysis Turnaround Time Jof No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) <br /> (714)662-2759 Phone TAT if different from Below• <br /> (714)662-2758 FAX 2 weeks SDG No, <br /> Project Name: Nestle © I week y <br /> ea <br /> Sita- Ripon.CA © 2 days <br /> P a# g209 © 1 day <br /> a <br /> 8 <br /> Sample Sample y ur 1 <br /> Sample Identification Date Time pr". Matrix Cant c+ > Sample Specific Notes: <br /> sI' HCl iT_U ? Y <br /> t <br /> it— , <br /> -r 6 ni i n.� s <br /> HCl 14,0 <br /> HEI —4.44— <br /> WT X <br /> Preservation ifaed: t=fee, 2=HCI; 3=H2SO4; 4=HNO3; 5-NaO";6=Other <br /> Possible Mzard Idenfifleadon �•--� Sample Disposal(A lee may be assessed if samples are retained longer than f month) <br /> 0 !on-Ha_ava, 0 Flannnable 0 Skim Irritavat Poisonll= u b -pr--'rmt =Return To Client Disposal By Lab Archive For Months <br /> Special InstructionslQC Requirements R Comments: It 11'f R 1 1)k 1.1 i\EDF FORM h-1 GLOB 11 1 I <br /> Relinquished by' Company: Date 1¢ne: Recei Com n L7a[e 1t <br /> Ci fr lY IL �{ay�v9 ren <br /> Relinquished by: Company: Date/Time: Re4yled by: Company: ❑ terl"itne: <br /> Relinquished by Company: DateMme R"-ivCd b.v Carrtpany: DalelTime- <br /> Page 14 of 15 <br />