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❑ ❑ ❑ ❑ L e <br /> p1►1 <br /> TestAmerica San Francisco T�Sm�i1 I a o <br /> 1220 Otiarsy Lane 2 <br /> ! Chain of Custody Record <br /> Yltasmrlon,CA 9.4566 �•i_tcrtc�•NIN —ar r<S!!c. <br /> phone 025 484 1919 fax 925 60o 3002 1 estAmerica Laboratories,Inc. <br /> (Tient Contact Project Manager: Binayak Acharya Site Contact:Marl.Czipka Date: COC No <br /> ECM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: ,; i of COCl <br /> 3525 Hyland Ave Suite 2130 Analysis Turnaround Time Job No <br /> Costa Mesa CA 92626 Calendar(C)or Woi k Days(W) C <br /> (714)662-2759 Phone TAT.hhffercirt11—Belo, <br /> d <br /> (714)662-2758 FAX ® 2 week, 3 SDG No <br /> m <br /> Project Name Nestle I week <br /> Site Ripon,CA 0 2 days o <br /> P O# L3 1 daN <br /> d <br /> i <br /> Sample anf <br /> Sample Identification Sample Date Time Pres. Matrix Cunt 7 S Sam le Specific Nates <br /> 7501 KIERNAN 2009 MID (,1 t��� I H2O I X M <br /> 7501 KIERNAN 2008 [NF i� .113, 1 1120 1 X O <br /> CV <br /> N <br /> 5725 HALL 2009 EFF io,04 1,4 H2O I X CU <br /> 5725 IIALL 2009 MID 1 H2O 1 X <br /> 5725 HALL 2009 INF I LI I I120 1 X <br /> Preser\-ation used: 1=Ice, 2-HCI; 3=112504; 4=IIN03; S=NaOH;6=Other <br /> Possible Hazard ldettiifteation Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® Nrnt-Ha�wd f-lwninable Skin Irrtiwu 1 Pooh H� 1 blkm'.11 � =Return To Client ©Disposal By Lab ©Archive For Months <br /> Special lostructions/QC-Requirements&C'umments: NOCEOTRACKER <br /> I <br /> Rehnqutshed by Company Date/Time Received by Campaoy 'fest America Date/T me <br /> ECM Consultants M 0.k <br /> Relinquished b`. Compam• Date, " e Receivedb Cotnpany Date(hme <br /> Rehngmshcd h} Company Daw Time Received by Compam Da1e'fttne <br />