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dD ,- 50*6 CD <br /> TestA�erica Sam Francisco � � � o <br /> 1220 $ � (2 TestAmetica N <br /> Chain of Custody Record THE LEADER IN ENVIRONMENTAL TESTING N <br /> Pleasanton,CA 94566 <br /> phone 925 484,]919 fax 925.600 3002 Testkmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Aeharya Site Contac}'Mark Cziipka Date: q11C11& COC No. <br /> Environmental Cast Management Inc.(EGM) Tel/Fax: (661)255-1693 Lab Con :Dimple Sharma Sampler. f)r,.p'; t _a- of COCl <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)oT Work Days M: C <br /> (714)682-2759 Phone TAT if different from 13010W <br /> 662-2758 FAX © 2 weeks 7 $ SDG No. <br /> N <br /> Project Name: Nestle O 1 week r <br /> r Site: Ripon,CA C] 2 days <br /> PO# © iday a e <br /> m <br /> y Sam le L <br /> p <br /> SampleldeatWeation 1 Sample Date "rune Pres. Matrix cone Sample Specific Notes: <br /> P M � ��� jSL% HCl H2O 3 X <br /> -,a 0 U 3`g` HCl H2O 1 3 X <br /> - lac 'JC'0� HCl H2O 3 X <br /> HCI H2O 3 X <br /> HCl H2O 3X 1 c� <br /> - - HCl 1420 3 X <br /> N <br /> q C <br /> ^,-_' .- HCl H2O 3 X a_ <br /> P a = HCl H2O 3 X ,C--,-6785 Cham of Custody <br /> RIC-'), Lfl KIN HCl H2O 3 X <br /> ' HCI H2O 3 X <br /> HCl H2O 3 X <br /> (y� � �g &j X <br /> Preservation used: 1=Ice,2—HCI; 3=13'2504; 4--HNO3; -I-,NaOH;6=Other <br /> PossihleHazardUmafwadon Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® Non-Hazard Flammable Elan Initant PoisonBm Unknown I1 =Retum TO Cient ®Disposal By Lab =�AlhlllFar Months <br /> Special FnstractionslQC Requirements&C©mgtents: REPORT DATA IN EDF FORMAT GLOBAL IID SL205012989 <br /> rew 3 - � <br /> Reiwgaished by Company.Environmental Datea e A Received by: Cnmpany:Test America Date/T=e- <br /> f CostManagemem Inc. � ' <br /> Relinquis y Company. Date/T' e: .� Received by: Company: Date/Time, <br /> Relmgtiished by: Company: Date Tune. Received by: Company Date/Time- <br />