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JWTesI o <br /> 1220 Qumy Lane San Francisco Test/� mphC� <br /> 1220 Quarry Lane G 'Tt �i <br /> Chain of Custody Record <br /> l�:i[;i-:e IfR LfVV!ien•.:K,Lyll•i f:•:'!-� <br /> Pleasanton,CA 94566 <br /> phone 925A84,1919 fax 925-600.3002 TestAmerica Laboratories,lite. <br /> Client Contact Project Manager: Birtayak Acharya Site Contact:Cbris McCormack Date: COC No! <br /> Environmental Cost Management Inc.(ECM) Teffax: (661)255-1693 Lab Contact-.Dimple Sharma Carrier: ECM —77_ of--J4 COO, <br /> 660 Baker Street Suite 253 Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Das(W) <br /> (714)662-2759 Phone TAT ddiiYercnr Crum aeiaw m <br /> {714)662-2758 FAX © 2 weak SDG No. <br /> Project Name: Nestle C7 1 week <br /> m <br /> Site: Ripon,CA 0 2 days <br /> P 0# Q209 © l day e <br /> Sample sample pot <br /> Sample Identification Date y Time Prem. Matrix cam. Sample S cifrc Notes. <br /> HCI H2O <br /> HCI H2O <br /> HCI H.O <br /> � ICP- 7 HCl H2O x <br /> I r l- 10,10HCi H O <br /> HCl 110 <br /> HCl H.,0 <br /> HCl HO <br /> HCl lip 3 x <br /> 1 <br /> 1 2T 1,3`(0 Z-1HO H-O <br /> 3 f:7s _HCl H;O 3L lit <br /> Presenarion Used: t=let, 2-HCI; 3=112SO4; 4=HM03; 5-NaOlf;6=Other Eftt <br /> Possible Hoard ldenrifrrarionSample Disposal(A fee may ba ass as sed it samples are retained longer than t month) <br /> 0 t'Ori-Hu=incl = Flammahle E] Skin Irr•ilow Poison H= [a{r o rY>^rf-�-�� Return aro Client Disoosaf By Cab Archive For Months <br /> Special InsiruetlonVQC RegOrements&Comments: ki-AIM, <br /> Relingtushcd by Companv: Date Time 16: 0 Rece 'ed lb)Y: ` C upan,j Date Ti e: <br /> Relinquished try: Company: Date+•Time: Received by: Company: DawTime: <br /> Relinquished hv: Company: WteTime: Received by: Company: Date,'Time: <br /> Page 153 of 155 <br />