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557TestArnerica San Francisco 7ZOp p • <br /> 1220 Quarry Lane TestAmenca <br /> Chain of Custody Record I HL LL ACI CH E�ENV I ROVMENT A L ILSs IWC+ <br /> Pleasanton,CA 94566 <br /> phone 925.494 1919 fax 925.600.3002 TestAmerica Laboratories,Inc. <br /> Client Contact Projeei Manager; Sivayak Acharya Site Contact:Chris MCC ormack Date: -40-.£7^ COC No: <br /> Environmental Cost Management Inc.(ECM) Tel)Fax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM _ of _ CDC s <br /> 66D Baker Street Suite 253 Analysis Turnaround Time Job Mo. <br /> Costa Mesa.CA 92626 Calendar(C)or Work Days(W): C <br /> [714]662-2759 Phone TAT if4itrerentfmm Below <br /> (714)662-2758 FAX © 2 weeks SDG No. <br /> Project Name: Nestle 1 week <br /> Site: Ripon,CA 0 2 days S, <br /> P O# O&M ® 1 day <br /> a <br /> w <br /> Sample Sample k or <br /> Sample Identifitation Date Time Pres. Matrix C-9. �; �' Sample specific%Otis: <br /> 110 H2O <br /> Preservation Used: 1=Ice, 2=HCI; 3=14ZSO4; 4=HNO3; 5=Na0H;6=Other <br /> Possible 71a;ard ldetrrifc-adon Sample Disposal[A tee may be assessed if samples are retained longer than T month] <br /> Von-HQrnrd = Flammable =3skin Pr'ifarir Porso")h� C nb:o,:p =Return To Client iXI Disposal By Cab © Archive For Months <br /> Special Instructions/QC Requirements&Comments: No Geotracker f <br /> Relinquished b / Cnmpa:f}: Date Time: f 6'.q Re4ed b%: CDate Time: <br /> rnnpa �" <br /> Relinquished by: Company: DatelTime: Received by: Company: I]a ime: <br /> Relinquished by: Company: Date.,Time Revpi.rd 1n- Company: DateJTane: <br /> Page 12 of 13 <br />