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1-1 ❑ 1111 W "10% (37���7 <br /> TestAmerica San Francisro 7n -#NoO7 TestAmerica <br /> 1220 Qua"Lanes� ¢ a o <br /> Chain of Custody Record THE LEADER IN'ENVIRONMENTAL TESTING N <br /> r <br /> Pleasaam CA 94566 <br /> phone 925.484.1919 fax925.600.3002 TeskAmcrica Laboratories,Inc. 00 <br /> 0 <br /> clientCoatact Project Manager: BinapakAc'aarya Site Contact:Chris McCormack Date,S-9-11FJob <br /> No: <br /> EmAronmental Cast Management Inc.(ECM) TeWax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECl4^i of tt7[s <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time No. <br /> Costa Mesa,CA 92626 Calemiar(C)or Work 1]a s(w): C <br /> (794)562-2759 phone TAT if4ffr"timmtsefm <br /> (794)882-2758 FAX 2 weeks SDG No. <br /> Project Name: Hestia C7 1 week <br /> Sita: Ripon,CA © 2 days <br /> P O# 1 day S ✓ <br /> Sample sar <br /> Sam 1e Identification Sample Date Time Pres. Matrix w Sam>}tle Spee is Norex; <br /> 7501 KIERNAN 2008 EFF 9:9,201 1 16.130 HC1 H2O 3 X <br /> 7501 KIERNAN 2008 MID 9,91011 16:05 HC1 H2O 3 X <br /> 7501 KIERNAN 2008 TNF 89:2011 16:113 HC1 H2O 3 X <br /> 00 <br /> 5725 HALL EFF 9;9'2011 15:35 HO H2O 3 X <br /> LO <br /> 13 5725 HALL MB) 8.9.2011 15:40 HO H2O 3 X _ �� FIX, � <br /> 5725 HALL ANF 8;9%2011 15:45 HCi H2O 3 X <br /> yj tL <br /> 802 VERA EFF 8,9'2011 14:10 HO H2O 3 X �}d <br /> 802 VERA MID 8J9-2011 14:15 HC1 ILO 3 X <br /> ( � 802 VERA,DF 8 9 2011 14:20 HO H2O 3 X <br /> T13-080911 89%2011 1 11:001iCi ILO 2 all <br /> resmation used: 1=1o, j=HCl; 3=H2SO4, 4=HNO3; 5=NaOff;6=Otber <br /> Prkrsi8l¢Sa'arrll titifictttlofa may he assessed If samples are retained tangev than?month) <br /> 'ort-Hn.ntd © Plnrrtnrcrhie © 3hnr7rritntrt P�±soz Z;Irlrrrnt� CDRBturnToCTlent �131,,p,.t$yLab M +4mbiveFor Month's <br /> Special InstructionslQC.Requirements Comments: INN GE TRACKER <br /> Relinquished b3- fompane:Em-ko:nwotal Daw Time: T=- <br /> [oTnparn:Test.anteriea Bate irueCOA MMMgement,hie. - f {9;05Relinquished by: Company: Datefrime: ceived by: Company: DaWrfine. <br /> linquis€ied by: Company: 1)alerTinie: Received by: Company: Daty Time: <br />