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Testkmerica San Francisco <br /> TestA <br /> 1220 Quant'Lane _ S o <br /> q Chain of Custody Record r <br /> J "et_^£_..9F�=maac F ;Ct.�c0'WENTAL 7E8T: G <br /> Pleasanton,CA 44566 l pa�-.,J,•p�� L0 <br /> phone 925.484.1919 Fax 925 600 3002 T esF 1 �-9 �rorles,fete. <br /> Client Contact Froject h ansgen- Bivayak Acharya Site Contact Mark C-43ka nate: 4j-�j COC No_ <br /> Environmental Cast Management Inc.(ECM) Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: of COCs <br /> 3525 Hyland Avenue, Suite 200 Analysts=zroiLad Time ..F .lob No. <br /> i <br /> Costa Mesa,CA 82626 Calendar(C)or Work Days(oJ}: C °' ! <br /> 1 I <br /> {744}552-2759 Phone TATddFffereatfroFnBe7ow i:: � i � ! <br /> (714)662-2758 FAX © 2 weeks ?:; I SDG No, <br /> Project Name: Nestle 1 week <br /> ,Site: Ripon,CA $ 0 2 days p E I e E <br /> PO# lday S i <br /> Sample Sample <br /> Sample Identification Bate Time Pres. IlWatralCont Sam 1e Specific Notes: <br /> RC-1pj HCl U20 3 X <br /> S -C <br /> 11 .10;3' 1 110 H20 3 X <br /> 7717 Kiernan HCI H2O 3 X <br /> 5724 Hall {g�+ j;j7 HCl H2O 3 X <br /> 1051 RobertI/'I Itl HCI 120 3 X c0 <br /> CU <br /> a_ <br /> 720-57194 Chain of Custody <br /> Preservation Used: 1=Ice, 2=HCl; 3=H2SO4; 4=HNO3; 5=NaOH;6=Other <br /> osWUe Hazard Identtftcation Sampio Disposal f A fee may be assessed if samples are retained longer than 1 month) <br /> ® Non-Hozm'd =F7ammabte 0 Skm Irr=t Poison B Unknown ED =Retum To Client ®Disposal By Lab Archive For Months <br /> Special AnstructionslQC Requirements&Comments: NO GEOTRACEER. <br /> ►-�'� z C <br /> Relinquished by. f/ Company:Environmental Cost DatcMmc.j Race}xea bye Company D e� <br /> J Mauagemen�Inc. l SC J <br /> Relinquished by: Company' Date/Time: Receivedb : Company. DakvTime: <br /> Relinquished by: Company: DaWTime- Received by: Company: DateMtne: <br />