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❑ ❑ ❑ ❑ L e <br /> 00 <br /> 0 <br /> TestAmeLane restT'�San Francisco A medca <br /> 12 20 quarry Lane <br /> Chain of Custody Record i AUi 3>7 tnvfizUNFrir 1AS 1.511N <br /> pleasanion,CA C)4566 {j�� ( <br /> phone 925 184 1419 fax 925 600 300 T st m rete a oratories,Inc. <br /> Client Contact Project Manager: Ainayak Acharya Site Contact:Siarl,CAPUR Date: /6 Co(: No <br /> ECM Consultants Tel/Fax: (661)2551693 Lab Contact:Dimple Sharma Sampler: , of __ COCS <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Das(W l C <br /> (714)662-2759 Phone TAT if&fferent fmtn setow„ Ga <br /> �yi O <br /> (714)662-2758 FAX 2 weeks SPG No <br /> Proleot Name Nestle Q I week ; <br /> Stte Ripon,CA © 2ry, <br /> days o r <br /> P O# © I day a <br /> c� w <br /> v u <br /> Sample a of O O <br /> Sample Idemtitication Sample Date Time Pres. Nlatru Cunt, Sample Specific Nates <br /> MW-3 I10 H2O 3 X <br /> MW-1 j�i HCI H2O 3 X <br /> MW-10 a)- IICI 1120 3 X <br /> OW-1 <br /> co <br /> MW-llHCI 1420 3 X4-H+ � <br /> 7' <br /> (D <br /> to <br /> la <br /> Preservation Used: 1=Ice, 2=HCI; 3=H2SO4; 444403; 5-NaOH;6=Other <br /> Possible Hazard Jdenrificarion Sample Disposal{A tee may be assessed if samples are retairted longer than i Moro) <br /> A'un-Hu-m d M I•lummable Skin Irnrunt 1,01 yon N© t Inkm)wn � Return To Client ®Disposal By Lab =Rrohrve For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA 1N EDF FORMAT GLOBAL 1D SL205012989 <br /> Rdinquished by Company Dateq'Irge Receii ed by Company 'fest America Date lime <br /> FCM Consultants -7131A Y:-11,,i 7Y 7;*,) <br /> f f <br /> ltelinguished Company DatelTi:ne_ R "ovedby-I Campany D�ayterTmier/ j <br /> Relinquished by Company Daterrime Req tedbyI � Company Datefrune <br /> I u , <br />