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❑ ❑ ❑ ❑ L e <br /> 1 N <br /> TestAmerica San Francisco � � <br /> 1220 Quurry Lane <br /> ca <br /> Chain of Custody Record ,t LE1DER 0� ",,,IN,IWAL% < 1•,_ `O <br /> Pleasanton,CA 94566 <br /> phone 925 484 1919 fa-,925 600 3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: ninava6 Acharya Site Contact:Mark Czlpka Date: 57 COC No <br /> ECM Consultants TeUFax: (66t)25'.I Lab Contact:Dimple Sharma Sampler: l �_ of COCs <br /> 3525 Hytand Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar E C)or Work nays f W i C <br /> (714)662-2759 Phone PT if diII Rom oei., <br /> (714)662-2758 FAX ® 21 weeks SDG No <br /> Project Name Nestle 1 week <br /> Srte Ripon,CA © , <br /> Says „ r <br /> PO# D Iday g <br /> a. <br /> Sample p or <br /> Sample Identification Sample Date Time Pres. Matrix C-1• — Sample Specific Nates <br /> TS-Cj�©, HCI 1120 2 1x <br /> 7501 KIERNAN 2008 EFF OJtb HCI H2O 3 x M <br /> 7501 KIERNAN 2008 MID jy; HCI H2O 3 X o <br /> 7501 KIERNAN 2008 IVF HCl H2O 3 X o <br /> i� <br /> CU <br /> 5725 HALL 2009 EFF 0 HCl H2O 3 x a_ <br /> 5725 HALE 2009 MID HCl H2O 3 x <br /> 5725 HALL 2009 INFHCl H2O 3 x <br /> Preservation Used: 1=Ice, 2=1110; 3=112SO4; 4=11NO3; 5=NaOH;6=Other <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> © !1'un-11a_ard © Haminubl. © Skin Irrraunr 1'olvni 13= (hrAw r rr � ©Return To Client ®Disposal By Lab ©Archive For Months <br /> Special Instructions/QC Requirements&Comments: :IN0 1: <br />