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❑ ❑ ❑ ❑ L e <br /> 00 <br /> 0 <br /> TestAmerica San Francisco Test> meriCCB o <br /> 12^_0 Quarry Lane <br /> Chain of Custody Record <br /> '�C t,EAIJ�k 374 FNVIgnyV ENTAL T�-FF nN ix <br /> Pleasanton,CA 91566 <br /> phone 925-184 1914 Fay 425 600 3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: BinayakAcharya Site Contact:hlarkCzipka Date- COC No <br /> ECM Consultants Tel/Fax: (661)251;-1693 Lab Contact:Dimple Sharma Sampler: rf� Lt of c0cs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar t C)or Work:Days(W) C <br /> (714)662-2759 Phone ;a r.FdaTerent ernm sera <br /> (714)662-2758 FAX © 2 vverkti $ SDG No <br /> Project Name Nestle (] 1 week <br /> Site Ripon,CA m <br /> 2da}s n <br /> PO# m <br /> Q I day R <br /> Sample ii of 4 <br /> Sample Identification Sample Date Time Pres. Matrix cont. Sample Specific Notes <br /> HCl 1120 3 X <br /> fl�`zica HCI H2O 3 X <br /> HCI H2O 3 X <br /> HC] H2O 3 X <br /> HCl 1120 3 X <br /> CI H2O 3 X tD <br /> CU <br /> HC1 1120 3 X a_ <br /> HCI H� 3 X <br /> HCl 1120 X <br /> HCl H2O 3 <br /> HCI H2O 3 X <br /> HCI 1120 3 X <br /> Preservation Used: 1=Ice, 2=HCI; 3=H2SO4; 4=HNO3; 5=NaOH;6=Other <br /> Possible Hatard ldendficaliun Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® lvun-ffa-ar i = I hrmmahh 0 Skin Irritant P000n 8 (Inknoa n =Return To Client ®Dnsposat By Lab =Archive For Months <br /> Special InstructionetQC Requirements&Comments: REPORT DATA IN FDF FORMAT GLOBAL ID SL205012989 <br /> 6 <br /> Rclinqu€shod by Connpany EnwonmenW Dat Tlme R ceived y ` Coi alt 7 Date/Time / <br /> Cost Management,Inc �lb /0'V kA � l�Li � C� <br /> Relmqutshed by 7 Company t erl's e Rece€v Company Date <br /> Relinquished b}' Compare} Datel'Time eceived by Company Dalet'Ftme <br />