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TestAmerica San Francisco ��os t �i �� N <br /> 1220 Quarry lane 50) <br /> -1 <br /> Chain O�Custody Record TkE <br /> LEADER IN ENVIRONMENTAL TESTING <br /> Pleasanton,CA 94566 tf �Q <br /> phone 925,484.1919 fax 925.6003002 Tesi mie a Laboratories,Inc. <br /> Client Cantact Project Manager. Binayak Acbarya Site Contaet:Mark Czipka Date: COC No: <br /> Environmental Cost Management Inc.(EGM) Tel/F'am (661)255-1693 Lab Contact:Dimple Sharma Sampler: ryjc ,� d of COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time '' Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work bays(W): C <br /> (714)662-2759 Phone TAT if dlffeaeW from Mow <br /> (714)662-2758 FAX ® 2 weeks o SDG No. <br /> Project Name: Neste D 1 week <br /> q <br /> Site: Ripon,CA D 2 days <br /> P0# 0 1 day a a0 <br /> � W <br /> C <br /> Sample a ar 'Z� p <br /> Sample Identscation Sample Date Time Pres. Matrix Cont. Sample Specific Notes: <br /> p HCl H2O 3 x <br /> )��g HCl H2O 3 X <br /> HC1 H2O 3 X <br /> 7H 1 Vi-11 r { HC1 H2O 3 X N <br /> 0 <br /> °�"_ 0 HC1 H2O 3 X c� <br /> CV <br /> HC1 H2O 3 X - to <br /> � = HC1 H2O 3 X <br /> T H a :1 °_ HC1 H2O 3 X <br /> 720-56714 Chain Of Custody <br /> H <br /> Preservation Used:'I=Ice,2=HCl; 3=H2SO4; 4=EN03; 5=Na01E1;6=Otber <br /> PossiN;aB zardIdenf#wztion Sample Disposal(A fee maybe assessed ifsamplesare retained longer than 1month) <br /> ® Non-H=ard = Flammable © skm Imtant Poison B Unknown =Retum To Client ®Disposal By Lab Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBA.:;- SL205012989 <br /> Ly <br /> Relinquished by Company:Euviranmemal Received by. Company:Test America Dat i 77 <br /> ( Cost lvlanag=M Inc. f y -' � / P 13sy <br /> Relinquished by: Company: DaWFmie- P1 Rec by. 1 A Company: Date/Time: <br /> relinquished --- <br /> by: Company: ateffime: Received b . Company_ Date/Time; <br />