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TestAmerica San Francisco � o <br /> 1224 CUariy lane T st nc r-- <br /> Chain of Custody Record ����� ., � o <br /> THE 4EADER in ENVIRONMENTAL TESTSNG \ <br /> Pleasanton,CA 94566 0 <br /> pho=925.484.1919 fax925,600.3002 TestAtaericaLaboratories,Inc. <br /> Client Contact Project Managen DinayakAtharya site Contact.Chris Mecorrasck Date;12f28t14 COC No: <br /> EwAronmerttal Cost Management Inc.(EGM) TeWax: (661)255-1693 Lab Contact Aimpte Si►ar�ta Cartier: ECM �_ of COCs <br /> 3525 Hyland Atte Suite 200 tAnnlysis Turnsrtrand Time Jot}No. <br /> Costa Mesa,CA 92526 Calendar C}or Warts hays( C <br /> (794)662-2759 Phone TAT i£dif%mnt from Below <br /> (794)662-2768 FAX 2 wceks SDG NO. <br /> Pro)ectName: Nestle © l <br /> week <br /> rr?? N <br /> Site: Ripon,CA © 2 days = a <br /> P t3>� <br /> Sample x ae Sp <br /> is <br /> Sam to identification Sample Hate Time Pres. Matrix carer Sam le ecific Naves: <br /> T1;-122810 I I o HC1 HO 2 X <br /> A)�E-123$1(1 HCI Pi2O 3 X <br /> 5724 HaR j'_'a '� HC1 H,0 3 X X N <br /> O <br /> O <br /> N <br /> (t3 <br /> d <br /> Preservation Used: i-lee, 2s HCl; 3-112804; 4=HNO3; 3=14aOfl;6=Other <br /> Possible Hazard(deirtijicivian Sample Asposei(A bee fney be assessed ff samples are,*Waed idng!er than 1 W;H ) <br /> M tion-tlazaid Flammable © Skinlrrirant Polson;' Unkn.,P r E]ReturRTOClien =.0isposal8yLab ©Archive For Months <br /> special instructionslQC Requirements&Comments: No Geotracker vlo� �/,�f f AT <br /> Reliaquished by' Company:Environmental Date)Time: ReceivedCompan :Test erica Date/Time: c7 <br /> Cost MamW meta,Inc, )2b-`)114 07133 12- ! r D? 3 <br /> ebignished by; Company: DatdFime: by: Company: t'Sx drfine' <br /> Rehagvished by: Company: Date rime: Reoeived b1': Company: DaWrime: <br />