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❑ ❑ ❑ ❑ L e <br /> o <br /> TestAmerica San Francisco Test m Ca o <br /> 1221)Quarr)Lane =7" <br /> 1 N <br /> Chairs of Custody Record ,t i r I[) w i r,.ni<cr+reE tr3ai yi Ewa <br /> Pleasanton.CA 94566 <br /> phone 925 484 1919 fax 925 000 3002 TestAmeriea Laboratories,inc. <br /> Cliettt Contact Project Manager: Binayak Acharya Site Contact:Mark CApka I>aie: S CDC No <br /> EGM Consultants Tel/Fax: (661l255-1693 Lab Contact;Dimple Sharma Sampler; p{ 2t „ _ _� of CUCs <br /> 3525 Hyland Ave Suite 200 Anal os"turnaround Time + Jot)No <br /> Cgsta Mesa,CA 92626 Calendar(C I or Work DaNs(W) C <br /> (714)662-2759 Phone TAI tfdcnemn%fomS ti— _ f. <br /> (794)662-2756 FAX 0 2 weeks SDG No <br /> Project Name Nestle D I week <br /> Site Ripon.CA a ,days <br /> PO# 0 Iday a <br /> a <br /> Sample n of o <br /> Sample Idenkificativn Sample Date Time Pres. Matrix C-1• = Sample Specific Notes <br /> 'rB- 0605) HCI H2O 2 X <br /> 7501 KIERNAN 2008 EFF c(t:c�l> HCI H2O 3 X <br /> 00 <br /> 7501 KIERNAN 2008 MID oct }ICI 1120 3 <br /> 7501 KIF:RNAN 2008 INF ` y I10 H2O 3 X O <br /> CV <br /> N <br /> 5725 HALL 2009 EFF 6 HCI 1120 3 X M <br /> 720-86806 Cham of Custody a_5725 HALL 2009 MID }ICI 1120 3 X <br /> 5725 HALL 2IIli9 INF (�e e HC! 1120 3 X <br /> 1051 Robert �0. HCI H2O 3 X <br /> Preservation Used: 1=lee, 2-1103; 3=H2SO4; 4=#iNO3; '+--NaOH;(r Other <br /> Possible Ha;arrl Iden ificalinn Sample Disposal(A fee may be assessed if samples are retained longer than 9 month) <br /> ® Nzu1-11'rard E:-D ldwnnaihle E=� .Skin Irrilant I'm w+n H[] 1'nkirna n 0 Return To Client ®Disposal By Lab °Archive For Months <br /> Special instructions/QC Requirements&Comments: NO GEOTRACKER <br /> Relinquished by Company Datei )m Reccncd by Company Test America Dale fl one <br /> L CM Consultants 01M ���-�\ - - r '7 S;(✓ <br /> Rebuquished by Company Date,'Dme Received by Company Datc/Tlme" <br /> Relinquished by Coinpany Datei Ilme Received by Company Date/Time <br />