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I t&(-73 <br /> 1220 Quarry Lina sin Fr$nC1aC6 TestAme6ca <br /> 1220�ularIj'Lane }� 1r. p}/� Y^1 <br /> Chain of Custody Record I. AU-,1 IN-NY'I[::Vktk.`J I RL INi <br /> Pkasanton,CA 94566 <br /> phone 925-484-1919 fax 925.600.3002 TestAmerica Laboratories,Int. <br /> Client Contact Project Manager: BinayakActsarya Site Contact:Claris McCormack Date: <br /> Environmental Cost Management Inc.(ECM) TelfFax: (661)235-1693 Lab Coataet:Dimple Sharma Carrier: ECM of COCl <br /> 660 Baker Street Suite 253 Aaal is Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W): C a <br /> (714)662-2759 Phone rnr ire rreaaL from Mow <br /> (714)662-2758 FAX 0 2 weeks SDG No- <br /> Project Name: Nestle 0 I week <br /> Site: Ripon,CA © 2 days a <br /> P a# 0 1 day a <br /> e w <br /> h <br /> Sample Sample x aF 4 <br /> Sample IdentificationDate Time P. Matrix cros• w Sample Specific Notes: <br /> EU3&EU4EFF s gone 11-0 4 l' <br /> E2&E6EFF Now H_L] 4 <br /> Preservarion freed: 1=Ice, 2=HCl; 3-HZ5p4; 4=HNO3; 5=NaOH;6r—Uther <br /> Possible Flazarrl Identification Sample Disposal(A fee may be assessed if samples are retained longer than 4 month) <br /> 0 NOlr-Harord © Fla»rnrable E7�1 Skim Irritant Poison B© UnknaxP ©Return To Client Disposal By Lab Archive For Months <br /> Special Instrue tionslQC Requirements&Comments: REPOR-f l}-krA IN E©F FORMAT G1.t7BAI-11] 1-2i: i1297i9 <br /> Relinquished bs: ( Company: Dae late' V=Y: C n': Date Wq <br /> F-C111 01rain y �,° -S� 42D -? C) <br /> Relinquished Company: DateTime: Reserved Company: Date;Time. <br /> Relin^uished by: Cys ^ 'u.,c �--- -A L_.. �y <br /> ., , pxsy Ccn I]atc'Timc: <br /> Page 72 of 74 <br />