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Te"werica San Francisco �7M— o <br /> C\j <br /> 522£1 Qnariy Lane TtArIc <br /> Chain�'/ Custody Record 0O <br /> of Custod Record THE LEADER IN ENVIRONMENTAL TESTING <br /> Pieesanton,CA 94566 p <br /> phone 925.484.1919 fax 925.600.3002 TestAmerica laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharys Site Contact:Chris McCormack Date: COC No: <br /> Environmental Cost Management Ina(ECM) TeWax: (661)255-I03 Lab Contact:Dimpte Sharma Carrier: ECM 0€ COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Sob No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work <br /> (714)682-2759 Phone TAT ifdiff"eren"Mmsetnw ai <br /> (714)662-2758 FAX 2 weeks �� SDG No, <br /> Project Name: Nestle © 1 Vxek <br /> W <br /> Site: Ripon,CA D 2 days <br /> P O#1 © l day <br /> w <br /> Sample #� C <br /> Sample Identification: Sample Date Time Pres, Specific Notes: <br /> PW-6 11 11.3-0 HCl H2O 3 X <br /> TB-0172511 � HCl H2O 2 <br /> 00 <br /> M <br /> O <br /> ti <br /> ch <br /> N <br /> t� <br /> d <br /> Preservation used: 1=fee, 2=HCl; 3=HZSO4; 4=HNO3; S=NaOH,6=Other <br /> Possible Hazord Idem fear`fon Sample Disposal(A tee may be assessed if samples are retained lodger than i month) <br /> M X0'7-Hcem•d © Plamnmble C] Skin Irr irmxr Poisor a� L'nk,rosv� Return To Client ED Disposal By Lab ©Archive far Months <br /> Special InsiructionslQC Reents&C � <br /> Comments: NO GEOTRACKE <br /> lid <br /> qulr <br /> Rcbngwslxedby Company:tnvironmen€al DatelTime: { Rocei ed by: p Company:Test America Date'Time: <br /> �jz Cost managemwe Inc. ZS l f b'y� i�� ^� -) —Z._ —ReliugoMedCompany: Date(Time: ReceWed by. Company: ateffitne: <br /> I mquished by: Company: Date/Tim. Received by: Company: Da&Time: <br />