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TestAnlerica San Francisca 7M <br /> 1220 Quarry Lane Test n c <br /> Chain of Custody Record IHE ienuea i1q E VIRCWAFA rTA4'rrzaranG <br /> Pleasanton,CA 94566 <br /> phone 925,484.1919 fax 925.600.3002 TestAmerica Laboratories,Inc; <br /> Client Contact Project Manager: BinayakAebarys Site Contact:Chris McCormack Date: j (17M COC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of C€3Cs <br /> 3525 Hyland Ave Suite 200 Ana"ais Turnaround Time Job No, <br /> Costa Mesa,GA 92628 Calendar C or Work Das : C <br /> (714)662-2759 Phone TAT i€diffexevt from Below <br /> (714)662-2758 FAX © 2 weeks SUG No. <br /> Project Name: Nestle © I week <br /> Site: Ripon,CA © 2 days , s <br /> P O# Q 1 day <br /> Sample TC�anL <br /> Sam le Identification Sample Date Time Pres. MatrZ Sani le Specific Notes: <br /> 7501 KIERNAN 2008 MID 10None BIO I X <br /> G. 7501 KIERNAN 2008 INF c��[(; None H2O t X <br /> 44 <br /> 0 <br /> o, <br /> 5725 HALL 2009 MID j;p�s b ��'b Noire H2O I X 4) <br /> 5725 HALL 2009 INP None H2O 1 X W <br /> 802 VERA EFF Nane I HO 1 X <br /> 802 VERA MW None H_O i X <br /> 802 VERA INF ': None H2O 1 X <br /> Preservation Used: 1=lee, 2=HCl; 3=H2504; 4=HNO3; 5-NaOH;6=Other <br /> Possible 1YazardldentfcadanSample Disposal(A fee may be assessed/f samples are retained longer than 9 month <br /> rX-I Xorr-Hagar d © Flammable © Skim Irritant Pois0J;3 Unbrau-P Return To Client ©Disposal By Lab Archive Forte;,,;,Months <br /> Special InstructionstQC Requirements&Comments:NO GEO'i'RAC:KER <br /> 6 <br /> R)flkquished by: Company:Environmental Dategupe: Rec ' ed by: Company:Test Ametxca DareiTime: <br /> Cost Managemcnt,Inc. /oh-1 o <br /> Z <br /> Relinquished by: Company: i7aterl ime: Received by: Company: Date/Tirne: <br /> Relinquished by: Company: Date/Time: Received by: Company: ateTfitrte: <br />