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3olO %34403 T'sstAnrle�isa Sou FranciscooN <br /> 1220 Quarry Lane tAmenca� � (70 <br /> Chain of Custody Record VIRC . STING O <br /> Pteasantotr,CA 94566 T� LEADER n vvirzo �sNra�resr{nc 00 <br /> O <br /> phone 925.484.3919 fax925.600.3002 TestAmerica Laboratories,Inc. <br /> CliientContaet Project Manager: BinayakAcharya Site Contact:Ch&McCormack Date-7-28-2011 Ct)C ro. <br /> EnvirommenW Cost Management inc,(ECM) evFax 661)255-1693 Lab Contact:Dimple SharmaCarrier; ECM of CC.)Cs <br /> 3525 Nyland Ave Suite 200 An sic Urnamund Time Jots No. <br /> Costa Mess,CA 92626 Calendar(C)or Worts D s(V0: C <br /> (714)662-2759 Phone TAT ifddeseat 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 #ef 4 <br /> Sample Identification Sample Da Time Pros. Matrix Coat. � sample splenic Notes: <br /> TB-072$11 7128/11 8:40 ;pct Rzv 2 x 5p7A)U� <br /> M-28C 1 7/28/11 t f`66 HC1 H2O 3 X � j,,r <br /> 0 <br /> c� <br /> a� <br /> - I s co <br /> Preservation Itsed: 1=lee, 2=HCl; 3=H2SO4; 4-HNO3; 5-NaOH;6=Other <br /> Pmvsible Ha„and Iderttifirelion Sample Disposal(fl fee may he assessed if sam}iles are retalrted longer than 4 month) <br /> 0 A-ora Iia;ard 1=1 F7:7wweihle M 84-w Iroraru P"""FD P uRk'..p ©Return To Client El pisposal By Lab ©Amhive For Montt <br /> Special Irtstrttctionsl(K'Requirements&Comments: REPORT DATA IT EDF FORMAT GLOBAL H)SL205012989 <br /> �r- <br /> etengnished by: Company:tny:EmironrnoiatA Date Timm: ] ® tceiviA b ConVaikv:Tcst A mcilca Date Tinw: <br /> Cost Management,Inc. 7-2,9-// t' <br /> Relinquished by: Company: Date/Time: Received by: Company: Iia ime: <br /> Rel nquished by: Company ate/Time Received by: Company: Date/Time. <br />