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TestAmerica San Francisco Cj TestAmerica <br /> 1220 Quarry Lane Chain of Custody Record l <br /> Pleasanton, CA 94566 <br /> Phone(925)484-1919 Fax(925)600-3002 <br /> Sampler: Lab PM: Carrier Tracking No(s): COC No: <br /> Client Information (Sub Contract Lab) Sharma,Dimple 720-10875.1 <br /> Client Contact. Phone: E-Mail: Page: <br /> Shipping/Receiving dimple.sharma@testame6cainc.com Page 1 of 1 <br /> Company: Job#. <br /> KIFF Analytical Analysis Requested 720.32521-1 <br /> Address: Due Date Requested: - '''Preservation Codes: <br /> 2795 Second Street,Suite 300, 1/12/2011 <br /> A-HCL M-Hexane <br /> City: TAT Requested(days): B-NaOH N-None <br /> Davis C-Zn Acetate 0-AsNa02 <br /> State,Zip'. D-Nitric Acid P-Na204S <br /> E-NaHSO4 0-Na2SO3 <br /> CA,95616 <br /> - F-McOH R-Na2S2SO3 <br /> Phone. PO#: <br /> w , G-AmH2SO4 <br /> S-H2SO4 <br /> VH-Ascorbic Acid T-TSP Dodecahydrate <br /> Email'. WO#: I-Ice U-Acetone <br /> J-DI Water V-MCAA <br /> a <br /> Project Name: Project#: U K-EDTA W-ph 4-5 <br /> < p r L-EDA Z-other(specify) <br /> Nestle-Ripon 72000256 <br /> Site, SSOW#: _ Other: <br /> a <br /> Sample Matrix F <br /> Type (W-water p <br /> s. na <br /> Sample (C=comp, <br /> Sam le Identification-Client ID Lab ID Sample Date Time G= rab) .-Tess A•Airrn S eclat Instructions/Note <br /> xis <br /> TB-122810(720-32521-1) 12/28110 11:45 Water X I <br /> OD Pacific e <br /> 0AB-122810(720-32521-2) 12/28/10 Pacific Water X E V <br /> IV <br /> s <br /> 2� <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> =Non-Hazard O Flammable Skin Irritant Poison B Unknown Radiological O Return To Client 0 Disposal By Lab Archive For Months <br /> Deliverable Requested:I,II,III,IV,Other(specify) Special Instructions/QC Requirements: <br /> v Empty Kit Relinquished by: Date: Time: Method of shipment <br /> r� <br /> (D Relinquished by: Date/Time: Com anx Re d by: Cat/Tax <br /> ­4ti 2� Z�.!o C)30 �✓t'" <br /> O oRelin ed by Date ime �pmpany Received by. Com an <br /> f� -2�-la epi <br /> O Relinquished by: Dategime: om any R ed g9terrime: IO (/ orr <br /> I LZ r <br /> R <br /> Custody Seals Intact: Custody Seal No.: Cooler Temperature(s)°C and Other Remarks: <br /> 0 Yes A No <br />