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-7o?o -o 1 ,2"go�q- <br /> TestAinerica <br /> San Frandsc TestAmenoca <br /> 1220 Quarry Lane Chain of Custody Record <br /> THE LEADER in'EE,3Vii20NPdEa`:7AL FESnPaG <br /> Pleasattton,CA 94566 <br /> TestAmerica Laboratories,Tnc. <br /> pltflne 925.484.1919 fax 925.600,3002 <br /> Client Contact Project Manager: Itinayak Adwya Site Contact:Chris McCormack Bate: I f 0 L COC NTo: <br /> tnvit_trnental Cost Management ft-(ECM) T&T (661)255-1613 Lab Coataet:T3impte Sharma Carder. ECM f o€ r COCs <br /> 3525 Wand Ave Suite 200 Aa*-sis Turnaround Time Job No. <br /> CosU Mesa,CA 92626 Calendar(C)or Work Days(Wj: C <br /> (714)862-2759 Phone TAT£di&rsntfrom Hetow <br /> 3pG No. <br /> (794)662-2758 FAX 0 2 <br /> Project blame: pestle © I week <br /> Slte: Ripon,CA Q 2 clays <br /> P O# © I day <br /> Sample Of of 2 <br /> Sam a IdeAtilieatioat Sample Hate Time Pres Matrix Caac Sample Specific Notes: <br /> 7501 KIERNAN 2008 MD J7 None H'O 1 x <br /> 7501 KIERNAN 2088 INP None x,0 1 x rn <br /> w <br /> 0 <br /> 572514ALL 20091 ( �[(�� [�= None HO 1 x 00 <br /> 5725 HAIL 2009 IvGD None x,0 1 <br /> x <br /> { v <br /> 5725 HALL 20091NI< s� 1-3, S7 N= H'O l x rd <br /> a <br /> 802 VERA EFF 111COID [ tQ None H_O i x <br /> file 802 VERA MID Bone H_O I X <br /> 802 VERA INF Nflne x,0 1 x <br /> Preaervati©n Used: 1=Tee, 2-HC4- 3--H2SO4; 4--HN)3; 5=Ii aGH,6=father <br /> Possible Hazard IdexWearion Sample 1}fsposaf f A fee may he assessed f#samples are retained longer than MOW <br /> © Yot:Batard © Flammable CD Skin Irritant Poison ©13etum?0 Client 0 Disposal By Lab Q Archive For Months <br /> Special InstntcdoasiQC Requirements&Comments:NO GEO•I RACKE7R <br /> Relinquished by: A Company:Environmental Dater Time: _ Rec, e b Company:Test Amedca Bate <br /> Cost management,Inc, 11f lUJf0 E)el <br /> Relinquished y: Company: ateffime: by: Company: Date/Time: <br /> Reliuguished by: Cotnpatny ateffmme: Received by Company: DateTTime: <br />