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tZ-7-7 q 1 <br /> TestAmerica San Francisco TestAmerica <br /> 122©Quarry Lane Chain of Custody Record <br /> THE LEADER IN EPfVtRONPAENTaL TESTING <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 fax 925.600.3002 TestAlnerica Laboratories,Inc. <br /> Client Contact Project Manager: Illuayak Acharys Site Contact:Chris McCormack Date: 77 777 COC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)2$5-1693 Lab Contact:Dimple Sharma Carrier: ECAs of_-�f CDCs <br /> 3525 Hyland Ave Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92828 Calendar C or Work Das C <br /> (714)662-2769 Phone TAT if dirfetm fi n Uow <br /> m <br /> (794)882-2758 FAX © 2 weeks SCG No. <br /> Project Name: Nestle © 1 week m <br /> Site: Ripon,CA © 2 days <br /> P O# 4010 © 1 day 8 <br /> 2 <br /> Sample gat <br /> Sample Identification Sample Date Time Pres. Matrix Cour. k Sam le S ecific Notes: <br /> HCl H.0 3 X <br /> HCl H2O 3 x <br /> HCl H2O 3 X ao <br /> ao <br /> HCl H2O 3 x 4 <br /> HCl H2O 3 X <br /> LO <br /> (� P)`G C 2- 15'; HC€ H2O 3 x � <br /> / N <br /> HCl H2O 3 X b <br /> �v a <br /> �_ � � ��';�€7 HCi x20 3 x <br /> 0 HCi H2O 3 X <br /> J6.13,C) HCl H10 3 X <br /> Z� c -11 <br /> 5 HCl H2O 3 X <br /> Preservation Used: 1=Ice, 2=HCI; 3=H2SO4; 4=HNO3; 5--NaOH,,6=Other <br /> t], <br /> Possible Hazard Idend leaBan Sample Disposal(A fee may be assessed if samples are retained longer than Z month) <br /> © Non-Hazard = Flarntnable © Skin Irritant Poison B© Unknown © ©Return To Client ©Disposal By Lab =ArChive For Months <br /> Special InstructionslQC Requirements&Comments: REPORT DATA.IN EDF FOP-MAT GLOBAL ID SL205012989 <br /> Relinquished by: Company: mental Dalt sll�. G n ed by: Company:Toot America `Ij� / Q <br /> AV Cost Management,Inc. l �tJ ill <br /> Relinquished by: Company: Date rime: Receiv y: Company: DatoTime: <br /> Relinquished by: Company: DaWFime: Received by: Company: Date/Time: <br />