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Eurofins TestAmerica, Pleasanton eurofins <br /> Chain of CustodyRecord �IhNY� III�I�� <br /> 1220 Quarry Lane EnvironmentTcylinp <br /> Pleasanton. CA 94566 Am—ca <br /> Phone:925-484-1919 Fax:925.600-3002 L <br /> Sampler Lab PM Carrier Tracking No(s) COC No J <br /> Client Information Sub Contract Lab Salimpour.Afsaneh F 720.50624.1 9R <br /> Client Contact. Phone E-Ma�I S!!e or Origin. Page. <br /> ShippinglRecetvmg Afsaneh Salimpour@Eurofinsel.com California Page 1 of 1 <br /> Company Accreditat-ons Required(See note) Job a. <br /> TestAmenca Laboratories.Inc State-California 720-100505-1 <br /> Address Out Date Requested: Preservation Codes: <br /> 4625 East Cotton Ctr Blvd. Suite 189. 1111212020 Analysis Requested <br /> A-HCL M-Hairline <br /> City TAT Requested tdays): 8-NaOH N-None <br /> Phoenix Z <br /> cD-NitricAcid P-Na204S <br /> State.Zip <br /> E-N]HSO4 O-Na2S03 <br /> AZ,85040 F-MeOH R-Na2S203 <br /> Phone PO a <br /> v- G-Amthlor S-H2SO4 <br /> 602-437-3340(Tel) 602.454-9303(Fax) pp o H.-Ascorbic Acid T-TSP Dodecahydrafe <br /> Email WO a Z a I-Ice U-Acetone <br /> O = J.OI water v-MCAA <br /> Project Name Prolm.a tj w < K-EDTA W-pH 4-5 <br /> L-EDA Z•other(specify) <br /> 14800 Schulte Rd 72015330 JI n <br /> Sde SSOW0 L i F J o. other: <br /> d+ xx b <br /> � U U <br /> Sample Matrixce <br /> 3 <br /> Type (s..ase o $ 2g <br /> Sample ((:=comp, h 1 <br /> Sample Identification-Client ID Lab ID Sam le Date Time G= rab h7.ri..v..A.•. r d 8. 1. i n r1- Special Instructions/Note: <br /> fv <br /> Preservation Code: <br /> (D HA-1 @ 36-(720-100505-1) 11/4/20 P4'� Solid X X X X 1 <br /> 8 <br /> O <br /> Co <br /> Note.Since laboratory accredr ations are subject to charge,Eurofins TestAmenca places the ownership of melted,analyte 6 accreditation compliance upon out subcontract taboratorks This sample shipment is forwarded under cham-of-custody If the laboratory does not currently <br /> mamlam accreddatlon in the State of Ongin listed above for analy5mllesls(matna bang analyzed.the samples must be stopped back tome Eurofins Tes"enW laboratory or other instructions will be provided Any changes to accreditation status should be brought to Eurofins <br /> TestAmerica allenten Immediatety if an requested accredilations are cterent to datereturn the signed Chain of Custody attesting to said compticance to Eurofins TestAmenca <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed If samples are retained longer than 1 month) <br /> Unconfirmed 0 Return To Client 0 Disposal By Lab Archive For Months <br /> Deliverable Requested:I.11,til.IV.Other(specify) Special Instructions/OC Requirements: <br /> Empty Kit Relinquished by Dale. Time: method of Shipment <br /> Rekngwshed by / D`tr74/� ���y l company L� ft c y DatelTime Company <br /> 171 P <br /> RNmqu y Datlriane V company ived by _ Dalerrime Company <br /> � <br /> Relintithhed by OaterTane Company Received b j-Da e,-2—, <br /> C:) <br /> \ CustodySeals Intact, CustodySeal No cooler Temporature(s)'C are Other Remarks > <br /> SIV t Yes % l' <br /> Vcr ill 1620111 <br />