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❑ ❑ ❑ ❑ E U <br /> TesC>1220 Al reLane San Francisco TestAmedcb NN <br /> E220(1Liari]I,aFIC € pn 1 1 t� <br /> Chain of Record {fp 1 L AUt•7 IN t.,HM)NMt Nt 4t it sI.W; <br /> Pleasanton,CA 9d5h6 >� 7/ <br /> phone 925 38d l9Yv fan 925 FUO 3002 I'estAmeries Laboratories,Inc. <br /> Client Contact Project Manager- 6ircayatc Acha Site Contact:Mark Czipka Date: ' -Z-3 15 COC No <br /> ECM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: L /7�L;',a� of COCl <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W)- C 1( <br /> (714)662-2759 Phone t AT ddifferent from uriow <br /> (714)662-2756 FAX ?weeks SOG No <br /> Project Name, Nestle l week <br /> Site. Ripon,CA 2 days <br /> I day <br /> Q a <br /> w a <br /> :a w <br /> Sample nor p p <br /> Sample Identification Sample Date Time Pres. Matrix Cant. w Sam le Speci€ic Notes <br /> 16"0 723 8 )43.6 a."Co He 0 /14C L <br /> RPS-2 )Z3` oc•3G, HCI II20 3 1 `� t <br /> ti <br /> 0 <br /> 0 <br /> CU <br /> 720.87640 Chain of Custody <br /> Preservation Used. I=tee, 2=HCl; 3=H2SO4, 4=HNO3; 5-NaOH;6=Other <br /> Possible Hazard Identification Sample Disposal{A fee may be assessed if samples are retained longer than t month) <br /> ® A'nn-flacard Q Flammable © Skin Irrrtmu Poi.+on S© Unknown =Return To Client ®Disposal By Lab =Arohrve For Months <br /> Special Instructions/QC Requirements&Comments: NO GEOTRACKER <br /> Relinquished by Company Dateanne Receiv by ( n Company 'fest Arnerica Daterfime <br /> 't')`I!u•`fid ECM Consultants 3-6 <br /> Relinquished by : Catnpany Datell'mte Received by Company Date(Time <br /> Relinquished by Company Date(tuie Received by Cnmpanv Daterhme <br />