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❑ ❑ ❑ ❑ L e <br /> 00 <br /> 9175 <br /> TestAmerica San Franciscov Testrr�erie� o <br /> 1�20 Quarry Lane v p <br /> Chain of Custody Record : .,..,G� ttN ,>;� Mt�=,. : yF i, N <br /> Pleasanton,CA 94566 <br /> phone 9'5 484 1919 fas 925 600 300'_ Test"rmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharva Site Contact:Mark CApka Date: i{ C I COC No <br /> ECM Consultants Tel/Fax: (661)255-1693 l ab Contact:Dimple Sharma Sampler: of 717 COCS <br /> 3525 Hyland Ave SWe 200 Analysis Turnaround'Time a Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) C <br /> (714)882-2759 Phone 1"AT&ddT—t from 1W" <br /> (714)862-2758 FAX 2 weeks SDG No <br /> Project Name Nestle O 3 week <br /> Site. Ripon,CA ?days <br /> ry <br /> P O# 1 day w <br /> Sample a of O <br /> Sample Identl(icateon Sample Date Time Pres, Matrix Cunt. x Sample Specific Motes <br /> Tij- by �{� L�6:�D HCI H2O 2 X <br /> 1 r <br /> MW-3 0),00 IiCI H2O 3 X <br /> MW-7 0 7 �� 1I0 1120 3 X <br /> ff H2OiUv �rJ/tl, !` 'W <br /> MW-t0 (�7`}`� Iicl H2O 3 X O <br /> rn <br /> - - <br /> 0) <br /> Ea <br /> tZ <br /> 720-85751 Cham of Custody <br /> Preservation Used: 1=Iee, 2-HCl; 3=H2SO4; 4--HNO3; S—NaO1l;6—Other <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than f month) <br /> ® Nwi-Hu.urd 0 hlurmnuble d Rkin frrieam R,+wwi 8173 Unknown =Return To Client =Disposal By Lab Archive For Months <br /> Special InstructinnslQC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> r� <br /> Relinquished by I Company Dater e Recewe�J1 yby Company, ITT Dat�rtlme� <br /> ECM C'onsultanis ��b �J" Z) tL �L.I �L G1 [[//// I1GJ� (L//n L V 3 0 <br /> Relinquished by Company Dat Time Recety Company Daterune <br /> 1, l l( /"y"~~ t� z v <br /> Relinquished by Compam DatePimc eceived by Company ❑ate'rime <br />