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TestAmerica Scan Francisco ■t Testerica N <br /> 1220 Quartyl ane \ <br /> r Chain of Custody Record <br /> Pleasanton,CA 94566 Ttiovignrvmersra�resriN� <br /> phone 925.484.1919 fax 925.600.3002 -f. erica aboratories,Inc- <br /> Client Contact Project Manager: Hinayak Acharya Site Contact.Mark Czipka Date: `l'j jo r°� COC No. <br /> Environmental Cost Management Inc.(EGM) TdTax: (661)255-1693 Lab Contact:Dimple Sharma Sampler•. d"I3- of COCs <br /> 3525 Hyland Avenue, Suite 200 Analysis Turnaround Time Job No. <br /> Costa Meld,CA 82626 Calendar(C)or Work Days <br /> (714)662-2759 Phone TAT ffdiffwwtfxom Below <br /> (714)862-2758 FAX ® 2 weeks $ SDG No. <br /> n <br /> Project Name: Nestle © 1 week <br /> Site: Ripon,CA 0 2 days - <br /> P Q# O 1 day m <br /> C V <br /> Sample Sample #of g O <br /> $ample Identification Date Time Pres. Matrix Cont . ;o Sample Specific Nates <br /> RPS-1 4 1�--Z HCi H2O 3 X <br /> 7507 Kiernan-Irr HCi H2O 3 X <br /> co <br /> a_ <br /> Preservation Used: I=lee, 2=HC4 3--112SO4, 4--HNO3; S=iVaOH;6=Other <br /> ossibLe Hazard fdendjka wn Sample Disposal(A fee maybe assessed if samples are retained longer than i month) <br /> ® Non-Hazard 0 Flammable © Skin I*tant Poison B © Unknown Q Return To Client ®Disposal By Lab Archive For Months <br /> Special Instructions/QC Requirements&Comments: NO GEOTRAMR <br /> Relinquished by C-npm'F,,,,�•Y, tal Date Tune Received by Company: T j1SF Dat <br /> ZIL <br /> Relinquished 13y Company p�fsae: /�ilO Recei 1 Company: Date/Time• <br /> Relinquished by: Company. Dat Received by: Company Date/Time: <br />