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`220 QuflIEBFIC$��n��EIeiSct3 770 • 3170S S no <br /> 122(1 terry Labe p''��y $` Record <br /> �.+aaain of Custody H�.e'cord THE LEAOER it,ENVIRONMENTAL TESTING <br /> Pleasanton,CA 94566 <br /> phone 925.484.7919 fax925.600.3fl02 TestAmerisa Laberat"I'n,Inc. <br /> Ciieet Contact Project Manager: Biaayak Aclarga site Contact:Chris Mecarmnck Bate: 13 COC No! <br /> Environmer4el Cast Management Inc.(ECM) TdliPaa: (661)755-1593 Lab Contact:Dimple Sharers Carrier. ECM of COCS <br /> 8525 Hyland Ave Suite 2013 Analysis Turnaround Time Job No, <br /> Com Mesa,CA 82626 Calendar(C)or Work Days(W): C <br /> (714)662-2759 Phone £AT ifdi6€ereat:m�n Be1o>4 <br /> (714)662-2758 FAX © 2 weeks SOG No. <br /> Project Aflame: Nestle © I We& <br /> Site: R€ ,CA © 2 days <br /> P O# © 1 day a a. <br /> rQ � <br /> Sample see <br /> Sample Identification Sample Bate Time Pres. Matrix C� ii. Sample Specific RTotes: <br /> 7581 KMRNAN 2008 EFF (,) ((3 =ZS HCl H>© 3 x <br /> 7501 KIERNA.N 2008 T%M 1�9t� HCl HO 3 x <br /> 7501 KIERNAN 2OU INF t�;� HCl %0 3 x <br /> N <br /> 5725 HALL 2009 E r i tct 1(0 �};ll HC1 11.0 3 x O <br /> 5725 HALL 2009 MID �S�� HC1 H O 3 x 'i <br /> N <br /> 5725 BALL 2{x09 INF �>�� HO 11_0 3 x � <br /> tT <br /> ro <br /> a <br /> 902 VEIiA EFF j ltd )(),-0-7 HC1 1110 3 x <br /> 902 VERA MD (�'.� HC1 H_'O 3 x <br /> 802 VERA INF HCI H,0 3 x <br /> TB- 19 t ci IQ 161 ' HC1 H,a 2 x <br /> Preservation Used: 1=Ice, 2=RCI; 3�112504; 4=HNO3; 5=NaOH;b Giher <br /> Possible Hozard Idenlifreatlon � $empte Dlspcsal(A fee maybe assessedlf samples ars retained longer than t month) <br /> = XonHawrd © Flammable © SkinIrtitarrt Poison' Urrhrrozr� ©Return To Client plsposalByLab ©Archive For Months <br /> Special InstruetlonslQCRequirements&Comments: NoGeotraeker <br /> Relinquished by: Company:EnvironmenW DateM e: 1teC /�/ Company:Tes;Anne'ca{a_ DateTime: i( <br /> Cost Manapnem Inc. ! !0 a � F t` 1 l 1 - �1 — 1 :0 - <br /> Relis:quisitetl by; Company: atrlTime: i ed by: Company: Dater me: <br /> lin[ptished by: Company: a�lTime_ eccived by. Company, Datefrime: <br />