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TestAlalerica San Francisco <br /> 1220 QuaTry Lane I es 8 s <br /> Chain or �idy Record ��� <br /> Pleasanton,GA 94566 �g <br /> THE LEADER IN ENVIRONMENTAL TES i IMG <br /> phone 925.484.1919 fax 925 600.3002 TestAmeriea Laboratories,Inc. <br /> Client Contact Project Manager: BinayakAcharya a Contact:Mark Czipka Date: ` f OC No: _ <br /> Environmental Cost Management Inc (EGM) TelfFax: (661)255-1693 ab Contact:Dimple Sharma Sampler of CgCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Joh No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days,(W): C <br /> (714)662-2759 Phone TATifdd#'0 tfivmBelow <br /> (714)662-2758 FAX © 2 weeks <br /> SDG No. <br /> Project Name: Nestle © 1 week <br /> Site: Ripon,CA <br /> 2 days <br /> P O# ] 1 day <br /> m <br /> ate. <br /> J <br /> Sample a of o <br /> Sample Identification Sample Date Time Pres. Matrix Cont Sample Specific Notes. <br /> T6- oli,'La, 4 j .r HCl H2O 3 x <br /> HCl H2O 3 X <br /> HCl H2O 3 x <br /> 13 7-E HCl H2O 3 x <br /> 4�, a 'GC� HCl H2O 3 X <br /> o <br /> HCl H2O 3 X <br /> `� HCl H2O 3 x <br /> HCl H2O 3 X <br /> T14 7 HCl H2O 3 X 720-56786 Chain of Custody <br /> e HCl H2O 3 X I FT I — --- —--- <br /> - HCl H2O 3 X <br /> HCl H2O 3 X <br /> Preservation Used; l=lcc� 2=1EIC1; 3=E2SO4; 4--HNO3: 5=NaOH;6=Other <br /> ossibie Hazard Idendicadon Sample Disposal(A fee may he assessed ffsarnples are retained longer than 1 morftii) <br /> ® Non-Hazard 0 Flammable 177 Skin lrritunr Poison B© Unknawn © =Retum To Client ®Disposal By Lab Archive For Months <br /> Special bstructionsiQC Requirements&Comments: REPORT DATA IN EDF FORT AT QW,0HAL ID SL20501 2989 <br /> Relinquished by- Company.Environmental Date im Receivaby: Companv:Test Amenca Date�Time, <br /> Cost Management Int. Wit h-t <br /> Rehngmshed by Company. Date Time: Recen ed by. Company: DatcrTime: <br /> NN fit <br /> ®� <br /> N Relinquished by: Company Date/Time: Received hy: Company DatelFnpe. <br /> O <br /> � I - <br /> i nn n n <br />