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E egtAerica San Francisco �� f / � ? a-LO -- 3-6 78 -7CD <br /> les ' � � <br /> 1220 Quarry Lane <br /> : CV <br /> Chain of Custody Record N <br /> Pleasanton,C.A. 94566 <br /> phone 925.484.1919 fax 925 600 3002 Test4merica Laboratories,Inc. <br /> CUent Contact lFroject Manager: Binayak Achatya Site Contact:Mark C.ziok2 Date: '"( CO', No: r <br /> Environmental Cast Management Inc.(ECM) Te1/F2x: (661)255-1693 Lab Contact:Dimple Sharma Sampier: ) of COCs <br /> 3525 Hyland Ave Suite 200 Ar2lysls Tnrasrouud Time ! i Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W): C <br /> (714)662-2759 Phone aaTa, ®rtroms�low e <br /> 1(714)662-2758 FAX ® 2 weeks e SDG No <br /> Project Name HesVe Q 1 rvezk y <br /> Site: Ripon,CA © z days <br /> >e. <br /> n <br /> PO# lday Q <br /> Sample #o£ O <br /> Sample Identification Sample Date Time Pres. Latrix coot � Sample Specific Notes: <br /> HCl H2O 3 x <br /> HCl H2O 3 x <br /> 0)_;G C- HC1 H2O 3 x <br /> Z- : HCl H2O 3 x <br /> HCl H2O 3 X 00 <br /> CN <br /> rr ~4,-t HCl H2O 3 x <br /> HCl H2O 3 X 11 <br /> 1,- 1 . " HCl H2O 3 x <br /> q E ��= HCl H2O 3 x720-56787 Chain of Custody <br /> 1 �. HC1 H2O 3 X <br /> HCl H2O 3 x <br /> pj e`'' HC1 H2O 3 x <br /> Preservation Used: 1=IM HCl; 3=H2SO4; 4=1_IN03; 5—NaOH;6--Other 41 1 <br /> ossible Hazard Idenkfuation Sample Disposal(A fee maybe assessed ifsamples are retained longer than 9 month) <br /> ® Non-Htuard = Flammable 0 Skin Irritant Poison B Unknown 0 =Return To Client ®Disposal By Lab ©Archive For Months <br /> Special Iaistruetions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT LOBAI.,ID SL2€5012989 <br /> .11, <br /> Relinquished by. Company Environmental Datell'i e,, Received by: Company.Test America DatdTime <br /> Z29At) Cost lvlanagement,Inc. (Ir/J 1! 1" <br /> Relinquished by: Company: Date;Time: Received by Company: Date/'Time: <br /> `f 114 Ifel, j 6-�- <br /> Relinquished by. Company: Datell'une: Received by: Company. Datemine. <br />