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TestAmerica San Francisco ����� <br /> 12201Quatry Lane T st 1 � 14 <br /> I'IeasanWn,CA 94566 Chain of Custody Record THE LEADER IN ENVIRONMENTAL TES rm(G <br /> phone 925.484.1919 fax925.600.3002 Tesftl,meriea Laboratories,Ine. <br /> Client Contact Project Manager- Dinayak Acharys Site Contact:Chris McCormack DateCOC No: <br /> Environmental Cost[Management Inc.(ECM) TebTax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of COCl <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 82626 Calendar(C)or Work Das(W): C $ <br /> 0. <br /> (714)662-2759 Phone © TAT if different from Below a <br /> a <br /> (774)662 2758 FAX 2 weeks SDG Na <br /> Project Name: Nestle Q 1 weektn <br /> @� <br /> Site: Ripon,CA Q z days <br /> PO# © 1da F d v F F <br /> Sample 1t� <br /> jD�Sam: le Identification Sample Date Time pres. Matrix �, 8 � Sample S ecific motes: <br /> 802 Vera INF Jf i�t7'y None H2O 3 X X X X X X X X X X <br /> use pies or un pres as needed. <br /> 802 Vera NF Z� HNwTO; II O 2 X X X X X X X X X X use pres or un prosas needed. <br /> 802 Vera INF None H- O 1 X <br /> 802 Vera INF 10 None H2O 4 X 44 <br /> O <br /> LO <br /> M <br /> r-I <br /> N <br /> ro <br /> a <br /> Preservation Used: Iw Ice, 2=110; 3=U2SO4; 4=I3R03; 5 NaOH;6.Other <br /> Possible Hazard lelendfreadon Sample E3lsposai(A fee may be assessedare retained longer than l month) <br /> Aron-Haaard Q Flammable © Skb7lirirarrt Iroisor a� Urrkizo,n3i ©RB#urn To Client KI Disposal By La�fa ©Archive For Months <br /> Special InstructionslQC Requirements&Comments: REPORT DATA EN EDI:FORMAT GLOBAL ID SL205012989 <br /> Relinquished by: m ally;1 rrvironmental Date Time: jq,5z> ec ' d by: Company:Test America Da iTitn <br /> Cast management,Inc. -10 95 <br /> Relinquis Com any: D e: Received Com Date/Time: t <br /> Relitrquished by. Company: DatelTime: Received by: Company: Date/Time. <br />