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❑ ❑ ❑ ❑ E U <br /> TestAmerica San Francisco "�` m�i,��. <br /> €220(Quail]Lane 1 1I <br /> Chain of t Record <br /> Woom 00 <br /> '}fy 1 l RUt•7 IN tNY1i1r)NMl Nt 4t i1 SIIVu <br /> Pleasanton,CA 9d5h6 >� 7/ <br /> phone 925 38d l9Yv fan 925 FUO 3002 I'estAmeries Laboratories,Inc. <br /> Client Contact Project Manager- 6inauatc Acha Site Contact:Mark Czipka Date: 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 B3 1- <br /> (714) <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. w4A Sample Speci€ic Notes <br /> 16"0 723 8 )43.6 a."co He 0 1�tc L <br /> RPS-2 )Z3` oc•3G, HCl II203 1 14`o t <br /> ti <br /> 0 <br /> 0 <br /> CU <br /> a_ <br /> 720.87640 Chain of Custody <br /> Preservation Used. I=tee, 2=HCl; 3=H2SO4, 4=HNO3; 5-Na011;6=Other <br /> Possible Hazard Identification Sample Dssposal{A fee may be assessed if samples are retained longer than t month) <br /> ® A'nn-flacard Q Flammable © Skin Irrrrmu Poi.+on S© Unknown =Return To Client ®Disposal By Lab =Arohrve For Months <br /> Special Instructions/QC Requirements&Comments: NO Cs C'©TRACKER <br /> Relinquished by Company Dateanne /j� ! Recery by ( n Company 'fest Arnerica Date/time <br /> 't')`I!u•`fid ECM Consultants 3-� ` 1'�c/ �J`�i (- D �� <br /> Relinquished by : Cainpany DatefTinle Received by Company Date(Time <br /> Relinquished by Company Date(tuie Received by Cnmpanv Daterhme <br />