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❑ ❑ ❑ ❑ ❑ e <br /> 00 <br /> C) <br /> TestAmerica San Francisco L yr ,p N <br /> 1_120 Quarry Lrlieam <br /> Tesi mti.Irica <br /> Chain of Custody Record r_Eaa=_F IN LW IF'314MEWA ik3Tth C, <br /> an <br /> I'leasanFon,CA 9�156G (09 + <br /> phone 925 484 1919 fax 925 61111 3002 Test.America Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharya Site Contact:Mark Czipka pate: 4 i COC No <br /> ECM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: yAtEr �_ ofj C'OCs <br /> 3525 Hyland Ave Suite 201) Analvsis'rurnaround Time .lob No <br /> Costa Mesa,CA 92626 Caltndar(C 1 or Work Days(W) C <br /> (714)662-2759 Phone rar tfdifferent from Below <br /> (714)662-2756 FAX © 21 weeks $ SDG No <br /> Project Name: Nestle D 1 week r <br /> Site Ripon,CA D - <br /> ..days <br /> P O# Q I day <br /> a. <br /> Sampley of p <br /> Sample Identification Sample Date Time Pres. Matrix Pant• sample Specific Note< <br /> `t'g- 040 19 of 3)Jj C j'UU HO H2O 2 X <br /> E(€-s&EU-6 EI I' HC't H2O 3 X N <br /> N <br /> FU-5&EU-6 N D j '. �j 110 H2O 3 X o <br /> EU-5&EU-6 INF HC[ 1420 3 X N <br /> N <br /> +41 <br /> t7) <br /> L'U-5 ' �3�t 3 s 110 H2O 3 X a_ <br /> EU-6 HCI H2O 3 X <br /> 720-85597 Chain of Custody <br /> Preservation used: 1=lee, 2=HCI; 3=112SO4; 4=HNO3; 5=Na011;6=Other <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than?month) <br /> © 2v0P1-1h1:an1 0 hlentmuhle 0 5knr lrrmuu 1'nrvm 81:= (blknnxa 0 173Return To Client ®Disposal By Lab =Archive For Months <br /> Special InstructionslQC Requirements&Comments: REPORT DATA IN EDF FORMAT GbOBAL(D SL2050t2989 <br /> r � G <br /> Relinquished by f Company Environmental Da r l;nne Received by Company I est America Date.r e <br /> ,J ❑ f Cost Management,Inc <br /> Relniquisliedby Company Datelj'tizsti Reee)Nedby Company Date tme �� <br /> LA :7�Z 4-14-14 � <br /> Relinquished by Compain Date:fsnte Received by Company tate Time <br />