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Te§tA1l€eriea San Francisco 7;ZX <br /> 1220 Quarry Tarte Test's menca <br /> Chairs of Custody Record . ..,.... <br /> THE LEADER IN'rN VLI:RuOzNMENTAL TESTING <br /> Pleasanton,CA 94566 <br /> phone925.484.1919 fax 925.600.3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Biaayak Acharya Site Contact:Chris McCormack Bate: COC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Faz: (661)255-1693 Lab Caatact:Dimple Sharma Carrier. ECM of COC$ <br /> 3525 Hyland Ave Suite 200 AaalXMs Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Das : C <br /> (714)662-2759 Phone TAT if different from Below as <br /> (714)662-2758 FAX 2 weeks SBG No. <br /> Project Name: Nestle © I week <br /> Site: Ripon,CA © 2 day5 m <br /> PO# D iday 4 <br /> Sample a of <br /> Sam le Identification Sample Bate Time Pres. matrix Cour rk I I I I I I I I Sample Specific motes: <br /> TB' jF�Q I® of l[k UD`rJ HCl H2O 2 x <br /> t+1 <br /> y lY <br /> EU3&EU4,MlD2 6 Oi 1t1 i© HCI H2O x 44 <br /> 4 <br /> lV <br /> k �} (V <br /> t3 E-2 �O�O l if� �l=t)� HCl 14,0 X � <br /> E-6 10101)16 17.111 HCI H2O 3 x w <br /> Preservation Used: 1=Ice, Z=HCl; 3=H2SO4; 4=HNO3; 5=NSOH;6=Other <br /> Possible Hazar(lldentificarion Sample Dksposal(A fee may be assessed if samples are retained longer than I month) <br /> 0 ,dost-Hazard ED Flmnmable © Skin Ir•rita,¢r Pofsof�;] unknoivp ©Return TO Client Disposal By 4'ab © Archive l'or Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> ` sr <br /> Relinquished by: Company:Environmental Date ime: Race d by: Company:Test America Dateilfjr e: <br /> Cost ManagementInc. JC/S` 6 1)!` 7 <br /> Relit€quished by: Company: DaWl'ime: Received by: Company: DateiTime: <br /> Relingttished by: Company: Datelfime: Received by: Company: DatelTime: <br />