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Z7-71-k <br /> TestAlnerica San Francisco s <br /> 1220 Quarry Lane yp <br /> tAmedca <br /> Chain ®f Custody Record THE LEADER IN ENVIRONMENTAL TESTING <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 fax 925.600.3002 TestAmeriea Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Aebarya She Contact:Chris McCormack spate: CAC No: <br /> Environmental Cost Management Inc.(ECM) TeWax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECMof COCl <br /> $525 Hyland Ave Aua B Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar C or Wark D s(W) Q „ <br /> (714)662-2750 Phone TAT if d6ftent from Balmy <br /> (714)662-2758 FAX ® 2 weeks $ SDG No. <br /> Project Name: Nestle p 1 week <br /> Slte: Ripon,CA 2 days <br /> P 0# 4090 © 1 day a <br /> t7 �j <br /> SampleN of G Z t <br /> Sam le IdentificationSample Date Time Pres. Ltri-I Cnsrt Sam le Specific Notes: <br /> /� pp X <br /> HCI H2O 3 X <br /> Z 5 - ® Ick ljjy; HCl H2O 3 X 00 <br /> HCI 1120 3 X 44 <br /> C- 933 <br /> HCl H2O 3 X <br /> Xz!b HCl HIO 3 X 00 <br /> N <br /> 16;S'L/ HCl H2O 3 X ro <br /> a <br /> C% M 5-3—(�J /6,5-9 <br /> HCI 1120 3 X <br /> 1M—5 f o?_, HCl H2O 3 X <br /> 32— r f S �1( j} HC1 H2O 3 X <br /> HCl H2O 3 X <br /> HCl H2O 3 X <br /> Preservation used: 1=Ice, 2--HCl; 3=H2SO4; 4=HN43; 5-NaOH;6=Other <br /> Possible Hazard ldeudfleallvn Sample Disposal(A fee may be assessed If samples are retained longer than 1 month) <br /> © Non-Hazard © Flammable © Skin Irritant Poison B© Unknown © ©Return To Client ©Disposal By Lab ©Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL 1D SL205012989 <br /> Relinquished by: Company:Ethvironmental Date%rz- R Compny:Test America Dat�ne: <br /> Costmanagetnent,Inc. 4/1-$/la 6 .20 )O _ l <br /> lU <br /> Relinquished by: Company: DatvTime: Received Company: Datefrime: <br /> Relinquished by: Company: DaWrime: Received by: Company: Dateakne: <br />