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❑ ❑ LILI e <br /> TestAxnerica San F'rancisc. 74ZOTestes edea <br /> CD <br /> 1220 Quarry Leve y �p �` y ¢$ �e�yp.y N <br /> Chain o Custody Record THE tEAWJ R M E L' 1 1NG - <br /> Pleasanton,CA 94566 N <br /> phone 925.484.1919 fax 925.600.3002 TestA�merien Laboratories,Inc. o <br /> Client Contact Project Manager: Whayak Acharya site Contact:Chris McCormack Date:8-9-11 COC No: <br /> Environtnent3l Cast Management Inc.(ECM) TcVFw. (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of t Cx s <br /> Tr,_9 Hyland Ave Suite 200 Analysis Turnare nail Time Job No. <br /> Costa Mesa.CA 92626 Calendar(C)or Work Das(W): C <br /> (714)662-2759 Phone TAT if di c-a from Below <br /> (7141662-27558 fAX 0 2 weeks SDG No. <br /> Project Name: Nestle © i week <br /> Site: Ripon,CA 2 days r <br /> P O#1 O 1 day 8 <br /> Sample n.at 8 <br /> Sample Idendfication Sample Bate Time Pres. Matrix w SantQie SpeciFic Notes: <br /> 75011CMMAN 2008 MrD 8/9111 16:05 Noce H20 1 <br /> 7501 K.IERNAN 2008 INF 8/9/11 16:10 None H2O I X <br /> rn <br /> 0 <br /> LO <br /> 5725 HALL I M 8/9/11 15:40 None H2O I <br /> a� <br /> 5725 HALL INF 819/11 15:45 None H2O I Xcc <br /> d <br /> 802 VERA MID 819/11 14:15 None H2O I X <br /> 802 VERA INF 8/9/11 14:20 None H2O 1 X <br /> Preservation Used: 1=Ice, 2=HCl; 3=H2SO4; 4=HNO3; S=NaOR;6=Other <br /> Possible H=ffd1der:nyir4W,,f1 Sarnpl2 Disposal(A fee may 6e assessed(f samples are reFalnsd longer than I month) <br /> oo-Haza d = Flammable © Shin h-rilwlt Poiso� l;iilTunl� =Realm To Client �DIVowl By Lab �AYCh1V2 For ffonthS <br /> Special InstrucuouslQC Requirements�€`.omnients: NO GEOTRACK R <br /> 7i <br /> RelinquWied by C ompaa}':EnNirontnentalate-Tines: Meech-ed kv Company!Test #tnerica Date'Titnt: <br /> Cost Management im, ®;V <br /> Relinquished by: <br /> Company: Datefrune: Received by: Company: Da ime: <br /> aHnqutshedby: Company: L=ived by: Company: Datelrnne: <br />