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TestAlnerica San Francisco � - o <br /> 1220 QuatryLane � � • �� n � t �� `� CV <br /> v/ Chain of Custody Record fHHF Two��{����n��-� <br /> Pleasanton CA 94566 � <br /> phone 925484.1919 fax 925,600.3002 IesiAmerica Laboratories,lee <br /> Client Contact Project Manager: Binayak.Acharya Site Contact:Mark Czinka Date: CCC No' <br /> Environmental Cosi Management Inc (ECM) Tel/Fax: (661)255-1693 Lab Contac£:}Dimple Sharma Sampler: 0)ZA olmvu —�I-- -f-0-- COC. <br /> 3525 Hyland Ave Suite 200 Analysis T ..round Tim IjUlJob Flp. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(t): C � <br /> (714)662-2759 Phone TAT if d�ffereutfromBelo�v <br /> (714)662-2758 FAX ® 2 weeks u $ SDG No <br /> Project Name: Nestle I week <br /> Site: Ripon,CA 2 days I 1 <br /> PO# _ ]day <br /> w I s <br /> Sample st ac O <br /> Sample Identscation Sample Date Time Pres. N"tinc Cont Sample Specific Notes= <br /> 91�;) � IQ=�� HCI H2O 3 X <br /> -9� ICI H2O 3 X <br /> HCI H2O 3 X <br /> HCI H2O 3 X <br /> .� <br /> HCI H2O 3 X o <br /> N <br /> LO <br /> HCI H2O 3 X <br /> HCI H2O 3 X sCU <br /> U <br /> EWE <br /> tZ <br /> -�j HCl H2O 3 X <br /> M-86 OCP j�,; HCI H2O 3 X <br /> - �} HCI H2O 3 X <br /> 1�1 <br /> t' - C�C-l 11,3 HCI H2O 3 X <br /> HCI H2O 3 X <br /> Preservation Used: 1=Ice, 2=HCl; 3=H2SO4; 4-HNO3; 5=NaOH;6=Other <br /> ossf6le Hawd.Iden4ykation Sample!Disposal fA fee may be assessed if samples are retained longer than t month) <br /> ® Non Ha=rd © Flammable = Skin Irritant Poison B Unknown =Return To Client ©Disposal By Lab =Archive Far Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL IID SL205€12989 <br /> Relinquished by. Company:Lnvironmental Date T' e: � ffjj Received by: Company:Test America Da�tf ime <br /> Cost Management,Inc. - � ,y �� � `�$f 7I �'! 035c) <br /> ILelinquished by: Company: D e: Received by Company_ Dale/Time: <br /> Reliaquished by. Company: Date(Time: Received by: Company: Datdrime: <br /> I <br />