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TestAmerica San Francisco <br /> 1220 Quarry Lane TestArnarica <br /> o C <br /> � Chain a3 Custody Record -st eaae¢;ae�zw c �asr:�G N <br /> P5001 <br /> leasanton,CA 94566 !/� It <br /> phone 925 484.1919 fax 925600 300,2 Test ilaltretories,Inc. <br /> Client Contact Project IYsanager: Wnsyak Acaarya Site Contact:Aurk Czipka Pate; %1 I L s CCC No: <br /> Fnvironmental Cost Management Inc.(ECM) Tel/Fax: (661)255',)693 Lab Contact:Dimple Sharma Sampler: [ 2 F F of 17 COCl <br /> 3525 Hyland Ave Suite 200 .4nalysi Turnaronad Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W). C <br /> 1 1 <br /> (714)662-2759 Phone rAr;faiff.�rfiomsaow <br /> (714)662-2756 FAX © 2 weeks SDG No. <br /> Project Name: Nestle E=] I week <br /> SFte: Ripon,CA © 2 days a m <br /> PO# D Iday s <br /> Sample aaf O <br /> Sample Identification Sample Date Time Pres. A4atrix FootI I I I L-11-1.1-11-1-1. 1 1.M Sample Specific Notes' <br /> TB- �W�� tl� `� c�2 HCl H2O 2 X <br /> WB- 0 I*-SI HCI H2O 3 X <br /> -S&A I C&58 HCI H2O 3 X <br /> fA OT CF-f HCl H2O 3 X LO <br /> _LO <br /> A HCl H2O 3 X � <br /> HCl H2O 3 X a <br /> - � UP B 5.;L HCl H2O 3 X d <br /> - ;! HCl H2O 3 X <br /> 05:10 HCl H2O 3 X <br /> -�-� HCl 132.0 3 X <br /> A to HCl H2O 3 X <br /> c: ic"f 0 HCl H2O 3 X 720-56901 Chain of Custody <br /> Freservation Used. 1=Ice, 2=110; 3=H2SO4; 4=HNO3; 5=N20H;f--Other <br /> Possible Hazard Idenfirwadon Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® NonHaLard 0 Flammable © Skrn Irntmn Poison B Unknown =Return To Client ©Disposal By Lab =Archive For Months <br /> speeiat lnstroctiousiQc Requirements&Commence: REPORT DATA.IN EDF FORMAT GLOBAL ID SL205012989 <br /> Relingmshedlry Company Fnvuomnental Dat}e}T' e �y Receive ompany:TestAmerica p 1m U /y ) <br /> CostManagemem Inc. �l€ i f 30 � <br /> Relinquished by Company: Dat ime: ,f Received by: Comp DatelTime <br /> Relinquished by: Company Date(Iime: Receivedbv' Company DalelTime: <br />