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❑ ❑ ❑ ❑ L e <br /> N <br /> TestAmenca N <br /> TestAmerica San Francisco N <br /> 1220 Quarry lane fen 4'00000 <br /> l 'o K:) <br /> Cham of Custody Record -r__ca VER N ENVIROHM.EN'AL TEST NG <br /> Pleasanton,CA 9.1566 f <br /> phone 925 484 1919 t'ax 925 600 3€102 TestAmerlc zt L�YIeS,Inc. <br /> Client Contact Project Manager: BinayalcAeharya Site Contact:Mark Czipka Date: r( COC No- <br /> ECM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: ,)Jm 'f- _ of COCl <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time San No <br /> ° <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) C <br /> (714)662-2759 Phone TAT ifcffcreat fwm Bnlaw <br /> (714)662-2758 FAX ® 2 weeks SDG Na <br /> Project Name Nestle © 1 week <br /> Site. R€pon,CA C7 2 days y1s <br /> PO# © tday a <br /> a <br /> cwc� <br /> Sample <br /> Sample Identification Sample Date Time Pres. Matrix Cam. s Sample Speci€ic Notes <br /> Tri- p�0 71 8'7-(S '730 HCI H20 2 x <br /> EU-5&E.0-6 MID c) Ho H2O 3 X o <br /> CIO <br /> 720-87896 Cha€n of Custody <br /> Preservation lfwd: I=Ice, 2-HCl; 3=H2SO4; 4--H 103; 5:-NaOH;b=Other <br /> Possible Hazard Ideittifteadon Sample Disposal(A fee may be assessed if samples are retained longer than i month) <br /> ® Nun-lla.ard © t-lammuble © Am Irrituni Pul'on HCS (h€hnus+n � =Return To Client ®Disposal By Lab �Archw For Months <br /> Special Instructions/QC Requirements&Comments: REPORT"DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> 3L <br /> Retmquiahed by Company Environmental Datelfime _ Received by Company Test America Dater[lme <br /> Cost Management,fnc S--?—!� tIf:1' ` ( � � �C/( "-�" <br /> Rrhngwshed by V Company Date time Received by Company Daterrime <br /> Relinquished by Company Daterftme Receivtd by Company Datelr€me <br />