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❑ ❑ ❑ ❑ L e <br /> 00 <br /> TestAmerica San Francisco N <br /> 12�0[quarry Lane TestAmerica o <br /> Chain of Custody Record ,r.�-.ADEK N ENI-Iit'—%e.,AL�E_H,u <br /> Plca,anton,CA 9.7566 <br /> phone 925 4X4 I41u fax 925 600 3DD2 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharya Site Contact:Mark Czipka Date: i COC No <br /> ECM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma trampler: _ ot'_ _ COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) C <br /> (714)662-2759 Phone MT it d�ff—w fi.n Mk, <br /> s <br /> (744)662-2758 FAX ® 3 necks $ SDG No <br /> Project Name NestleD 1 week r <br /> Site Ripon,CA C� s daym <br /> PO# Idav m <br /> Q <br /> a <br /> w <br /> Sample <br /> "of o <br /> Sample Identification Sample Date Time Pres. Matrix cone. x Sample Specific Notes <br /> cl 4 S'Y 10) Hcl H20 3 x <br /> -� 10: t HCI H2O 3 X <br /> HCI H2O 3 X <br /> • °� HCI 1120 3 X °�° <br /> ° <br /> HCl H2O 3 X <br /> -J HCl H2O 3 X <br /> HCI 1120 3 X a_ <br /> '• j 3ICI 3320 3 X <br /> �}- Ou �. HCI H2O 3 X <br /> I'D- �{( HCI H2O 3 X <br /> }. HCl H2O 3 X <br /> Hca H2O 3 X <br /> Preservation Used: 1=Ice, 2=HCI; 3=H2SO4; 4=HNO3; 5-NaOH;6=Other <br /> Possible Hazard IdenAJiradon Sample Disposal(A fee may be assessed if samples are retained longer than i month) <br /> ® N"ki-ff,rerrd = f lawnwhte Q skin Irruaw Polon BO I"nknown ©Return To Client 5-LIDrsposal By Lab =Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished by 15 Company Environmental Date re e Re tved b Comp y Dat4f1 i re <br /> Cost Management,Inc CI .5V T � (� ` / , <br /> Relinquished by Contpan Date/i tine LRece C'ompan Dat�l'une <br /> L w CZ(U 17 �� g1Y'11Minqutslted by Companv Datefrmle Company Da€e�rime <br />