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UD <br />CD <br />® o <br />0 <br />TestAmerica Pleasanton D <br />1220 Quarry Lane Chain of Custody Record Test>Atmedca M <br />Pleasanton, CA 94566 O <br />N <br />Phone (925)494-1919 Fax (925)600-3002 fHE tEAt W FWMONWNIAI IEeTLNO <br />Sampler <br />Client Informatlon (Sub Contract Lab) <br />Lib PIA:tamer <br />Sharma, Dimple <br />TracxIng N.(.). <br />COC N. <br />720-19712.1 <br />Client CmtacL <br />ShrppinglReceiving <br />E-Uall: <br />dimple.shermagiestamaricalnc.t»m <br />Pape: <br />Page 1 of 1 <br />C— <br />PM Anal Is Requested <br />Job s <br />720-54166-1 <br />Due DW Requestad: <br />4350 Transport 0107, 12!1072013 <br />Preservation Codes: <br />A - HCl M - Hsxaru <br />B - Ne01/ N - Non. <br />C - 2n ArAW1. O. M141902la, <br />D - Wt. Acid P - Ne204S <br />E - N.HSO4 0 - N.2SD3 <br />F-WOH R-NAMS03 <br />G - A.Wilor 5 - 1-12504 <br />H - Ascorbic Aad T - TSP Dodocahydr.ts <br />-Ica U - Acetone <br />i- WWW Y -MCRA <br />K- EDTA W - ph 4-6 <br />L - EDA 2 - oFer (SOWN) <br />Baur: <br />InstriactlordMots: <br />G AT Requested (days): <br />no <br />CA, 93003 <br />Phone POa: <br />Emad: wow <br />.� <br />Roje• <br />PR ; <br />UPR R -Stockton Debns bin CA 7 7200 N-2006 s:6903 <br />Sita: SSOW s: <br />x <br />G <br />Sample Metria <br />Type (�.+.. <br />awr. <br />Sample (C=comp, <br />Sample Identification - Client ID Lab ID sampleData Time G tab n.Tr.,,..e..a nSpecial <br />UPS131202 OILY SAND (720-54166-1) 12013 11:45 SolidPacffic X <br />Possible Hazard Identification Sample Dfsposal (A foe may be assessed 1/samples are ratahred longer than 1 monde) <br />Urrxrdirmed ED Return To Client MDisposal 8 Lab Arch" For months <br />Dellverable Requested: I, II, III, N, Other (specify) Special Instructions OG Requirements: <br />Empty Kit Relinquished by: Date: Time: ►trona of Srilon r t <br />Rsarguthsd by Dateq—: Company R"C d by OeterTlWru: Corrgany <br />13 )yes TL <br />RaprgWLud by Lw.a me: Cmrpany Re..Kad b Dat✓Thu: Carrprry <br />RaWK305hea by Drenv— C—Pany R ved by I7sWikna'. Conpeny <br />Cusco Seals Intact: <br />es e No <br />C ustody Seal No.: roam Temperab,rge)'cezad Other Rem a,: a, <br />G <br />r -- <br />N <br />O <br />Ln <br />N <br />lU <br />Q1 <br />Lo <br />d <br />