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T es..rmeriLa San>l+raneicco �+ <br /> 1220 Quarry Lane Testa M zCrI <br /> O <br /> 10no— �� N <br /> Chain of Custody Record <br /> Pleasanton,CA 94556 � � <br /> phone 925.484-1919 fax 925.600 3002 T estt�merie IL ara€ories,Ise. <br /> Client Contact Project&'Tanager: Dinayak ti°charya ISIte Contact:Mark Czipka Date.• i4 -7 a CDC leo: I <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)255-1693 Lob Contact Dimple Sharma Sampler: o r z r of COCl <br /> 3525 Hyland Ave Suite 200 Analysis Titmarouud Time .fob No. <br /> s ; <br /> Costa Mesa,GA 92626 Calendar(C)or Work Days(W): C <br /> (714)662 2759 Phone TAT if affexeoefmm Below <br /> F4 <br /> (714)662-2758 FAX © 2 weeks rr SDG No. <br /> Project Name: Neste [D I „eek I tt I <br /> Site: Ripon,CA © 2 days E j <br /> Po# p Iday I <br /> w I <br /> Sample Al of o <br /> Sample Identification Sample Date Time Pres. Matrix Conk Sample Speeme Notes: <br /> HCl 1-20 3 X1 I <br /> - , HCl H2O 3 X <br /> HCl H2O 3 X <br /> 00 <br /> HCl H2O 3 X <br /> `� HCI 1420 3 X � <br /> Ak LO <br /> HCI 1420 3 X a> <br /> 1401 H2O 3 XIl <br /> r� r HCl H2O 3 X <br /> HCl H2O 3 X <br /> HCl H2O 3 X <br /> j'r-6 6, HCl H20 3 X 720-56864 Chain cf Custody <br /> { HCl H2O 3 X <br /> Preservation Used, I=Ice, 2=HCk 3=H2SO4; 4=1TT103; 5=NaOff;f--Other <br /> Possible IHamrd Idendfwff ion Sample Disposal(A fee maybe assessed ifsamples are retained longer than 1 month) <br /> ® Non-Hazard ©Flammable .Skin Irritant Poison R unknown � ORetum To Client ®Disposal By Lab Archive Far Months <br /> Special Instruedons/QC Requirements&Comments: REPORT DATA LN FDF FORMAT GLOBAL ID SL205012989 <br /> Relmeluished by: f Company Environmental Date/Time: Received By Company Test Amenca Date zit <br /> Cost Management Inc f f I r !Q f i ��• <br /> Relinquished by: Company: Daie ime: kecezved by: Com Date/Time_ <br /> TA <br /> Relinquished by. Company Datefrime: Reeeivj by Company: Date $n`e: <br />