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3 O %3 0 T'sstAnrle�isa Sou FranciscooN <br /> 1220 Quarry Lane tAmenca� � a, <br /> Chain of Custody Record VIRC . STING N <br /> Pleasanton,CA 94566 T� LEADER n vvirzo �sNra�resr{nc CD <br /> O <br /> phone 925.484.3919 €ax925.600.3002 TestAmerica Laboratories,Inc. <br /> CliientCantaet Project Manager: BinayakAcharya Site Contact:Ch&McCormack Date-7-28-2011 C0C a <br /> : <br /> Environrnenta€Cost Management inc,(ECM) evFaa 661)255-1693 Lab Contact:Dimple SharmaCartier; BCM of CC.)Cs <br /> 3525 Nyland Ave Suite 200 An sic Urnaround Time Jots No. <br /> Costa Mess,CA 92626 Ca1wdar(C)or Worts D s(V0: C <br /> (714)662-2759 Phone TAT if ddeseat from Below (A <br /> (714)662-2758 FAX 2 weeks SDG No. <br /> Project Name. Neste © 3 week � <br /> Site: Ripon,CA F-1 2 days ��u <br /> PO# 3day <br /> Sample got 4 <br /> Sample Identification Sample Da Time Pros. Rlatitx Cone rr, san44e sptd&Notes: <br /> TB-072$11 7128/11 8:40 ;pct Rzv 2 x <br /> M-28C 1 7/28/11 t f`66 HC1 H2O 3 X ,_ <br /> 0 <br /> LO <br /> a� <br /> - s cts <br /> i,. d <br /> Precervadon Itsed: 1=lee, 2-110; 3--1112804; 4-HNO3; 5=NaOH;6=Other <br /> Pmvsible Ha„and Iderttifirelion Sample Disposal(A fee rttay he assessed if samples are retaIned longer than 4 month) <br /> 0 A-on Hxard 1=1 F7:7wweihle M Shirr Iroraru Pors"�� uRk'..p ©Return To Client �pisposal By Lab ©Atichive For Montt <br /> Special Irtstractionsl(K'RMujrenwnts&Comments: REPORT DATA IT EDF FORMAT GLOBAL H)SL205012989 <br /> �r- <br /> etengdi hed by: Comp OT: toutat 1Jate Ttrue; ] ® eicecl b Coa aits-:Test. ckica I)ateTitue: Z50 <br /> Cel Management,Inc. -// <br /> Relinquished by: Company: Date/Time: Received by: Company Iia ime. <br /> Rel nquished by: Company ate/Time Received by: Company: Date/Time. <br />