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TtstAmerica Sart Francisco <br /> CAL Ur T SS o <br /> 1220 Quatry Lane N <br /> Chain of Custody Record rr.L keaaeri IN'E NVI ,Ne N <br /> Pleasanton,CA 94566 <br /> ane 925.484.1919 fax 925.600.3002 TestA►meriea Laboratories,Inc. <br /> Client Contact Project Manager. Dimiyak Acharya Site Contact:Chris McCormack Yate: 71.4,5 A, COC No: <br /> Environmental Cost Management Inc.(ECM) TelWax ("1)255-1693 Lab Contact:Dimple Sharma Carrier. SCM of COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No, <br /> Costa Mesa,CA 92628 Calendar(C)or Work Da : C <br /> (714)662-2759 Phone- TAT if ditrewnZ from Belo <br /> (714)862-2758 FAX 2 weeks SDG No, <br /> Project Name: Nestle © i week <br /> Site: Ripon,CA 0 2 days 4 <br /> PO# lday <br /> Sample ct <br /> Sant le Identification Sample Date Time Pres. Matrix Cmt, �w 1 1 1 f 1 11 1 1 a I I Sample Specific:votes: <br /> C\l <br /> r <br /> w <br /> i O <br /> 5725 HALL EF' -)119 EA �:� HC1 H2O 3 X N <br /> 5725 HALL MID '.(? HCI H203 X <br /> to <br /> 5725 HALL NF Iros HCI H20 3 X d <br /> T� <br /> `B-011111 "7�ilt 0)=i,5' HC1 H2© 2 x <br /> Preservation used: 1=Ice, 2=ACI; 3=H2SO4; 4=11NO3; 5=NaOH;b=Other <br /> Possible Hazard rdenlreadon f�1 Sample f3lspasal(A lea maybe assessed If samples are re of longer than 1 month) <br /> I] ,Alan-Ra:m•d = Flammable © Skin L•,irant PoisoF� t rrrknair)r— ©Rettern To C11ent Disposal By Lab Archive For Months <br /> Special Instructions/QC Requirements&Comments: NO GEO ACKE" <br /> Relitiquishad by: Company:Environmental Date:T' s: Received by: Company:Test America Datc'Thme: <br /> Cost management,Inc. ��tt 0e,�lj tr✓li r3 �� �� <br /> Relinquished by: Company: DatvTkw Received by: Company: Datc/Titne: <br /> Relingaishedby: Company: Dat*Time: Received by: Company: Dato7ime: <br />