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'I'esitAlllelica San FranciscalestA <br /> I220 Quarry LanetoolW13 o�pp�/� CV <br /> C1t3:`s"alfili of Custody Ri.LYlrC� �-__�er.r}=_R��FuvtaoN7ns=_�N/:xL z =�r ® � <br /> Pleasanton,CA 94556 t 5zs -� <br /> phone 925.484.1919 fax 925.400.3002 'TestAmerica Laboratories,-McE <br /> Client Contact project Manager: Binayals Acharya Site Contact:Mark Czipka Date: COC No: <br /> Environmental Cost Management Inc (ECM) Tei/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: f d€ Lf of i CbCs <br /> $525 Hyland Ave Suite 200 Analysis Turnaround Time .loo No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W): C n+: <br /> ,R 1 I <br /> (714)662-2759 Phone TATifa5rwtkomBelow w' <br /> (714)662-2758 FAX ® 2 weeks a3 N ! SDG No. <br /> Project Name. NestleD 1 week iT9 <br /> P 2 dj' <br /> Site: Ripon,CR days <br /> Q � <br /> PO# D Iday e <br /> w <br /> Sample #nf o <br /> Sample Identification Sample Date 'Imre Pres. Matrix Coot Sample 5 mific Notes: <br /> HCl H2O 3 X <br /> -� HCl E20 3 X <br /> HCl H2O 3 X <br /> 00 <br /> HC1 H2O 3 X <br /> 0 <br /> r` <br /> (ll <br /> :) <br /> li <br /> 3 X <br /> Preservation Used: 1=Iee, 2=HC1; 3=WSO4, 4--HNO3; 5=Na011;6=Other <br /> Possible Hazard Idea freadon Sample Disposal(A fee may be assessed ifsamples are retained longer than 1 month) <br /> ® Non-Hmard =Flammable Skin Irritant Poison B Unknown � =ReNm To Client ®Disposal By Lab �ArChive For Months <br /> Special Instructieus/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished by Company_Emuonmental Datb7iw Received by. Company Test America D,J im <br /> s Cost Mane Inc- <br /> Relinquished by: Company: Dat im 3 Received by: h Company DatefTime: <br /> Relinquished by: Company: Dafefl'nne: Recen1d by: Company:, Date/Time. <br />