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TestAmel ica Salt Frallc&o TestAmenoca <br /> 1220 Quarry Lane ` ¢ (� <br /> Chain oa Custody Record THE LEADER IN ENVIRONMENTAL TESTING <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 fax 9'25.600.3002 TestAxacrica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharys Site Contact:Chris McCormack !Rate COC Flo: <br /> Environmental Cost Management Inc.(ECM) Telt = (661)235-1693 Lab Contact:Dimple Sharma Cartier: ECM Of—V COCl <br /> 3525 Hyland Avenue, Suite 200 Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar C)or Work IRa s <br /> (714)662-2759 Phone TAT Wdifferent from Below <br /> (714)662-2758 FAX 2 weeks SDG No. <br /> Project Name: Nestle © 1 week <br /> Site: Ripon,CA 2 days asa <br /> PO# © !day ppb <br /> Gps] W a <br /> Sample Sample <br /> Sam le Identification <br /> Date Time Pres. Matrix cnut p� a41P S� tfsc-Na€es. <br /> HC1 H20 3 <br /> �'-7 HC1 H2O 3 <br /> HC1 H2O 3 opo <br /> ?( liYV4'-lU H HZC? 44 <br /> MVV 16r� D rj tTIC'E. 1I00 <br /> 2C3" 3 x <br /> HCI H2O 3 X a <br /> ! ~- <br /> HC1 H2O. 3 X <br /> MW-tib HC1 H2O 3 X <br /> Preservation Vsed: 1=1ce, 2 HCl, 3, H2S 1 t 1 f3J, - fR ,G ilther <br /> Possible Ho and Idenlfficariort Sample Disposal(A fee maybe assessed tI sernpfes ere retained longer than I month) <br /> © N'aSkin 1,:rmri Poiswr B© t r»�7vor€� ©Returtl TO Client Disposal By Lab © Archive For_______Months <br /> Special Instructions{QC Itegt€ltetuei Es s&€`omments: NO GEOTRACKER. <br /> PRIORITY NIVELLS <br /> Relinquished by: Company:Environmental Cost Da€e%Tima: d by: y: Daw-,Time): <br /> Management,lae. iq,zS1lV 4f''vo C l4 Z�111) ©r ZO <br /> Relinquished by: Company: Daterfime: Rec ' Company: DafeiTiote: <br /> Relinquished by: Company: Date/Time. Received by: Company: ljatelTime: <br />