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TesitAAmerica San Franciscoe <br /> 1220 Quarry Sane TestAmenca o <br /> Chain of Custody Record N <br /> <i'�LEr'.4cR 1N EN ROMP-SEh=AI TESTING � <br /> Pleasanton,CA 94566 <br /> la.0 U t tz <br /> phone 925.484.1919 fax 925.600.3002 9 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binavak Acharya Site Contact:Chris McCormack Date; i I t' 13 COC No <br /> Environmental Cost Management Inc.(ECM) TellFax: (661.)255-1693 Lab Contact:Dimple Sharma Carder: ECM of___U_ COCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W), C <br /> (794)662-2759 Phone TAT ifdifferet from Below <br /> (794)662-2758 FAX <br /> © 2 weeks SDG No. <br /> Project Name: Nestle D 1 week <br /> Site: Ripon,CA O 2 days , <br /> P O#i: I day ¢ <br /> v <br /> Sample a of <br /> Sample Identification Sample Date Time Peres. Matrix Cont. Sample Specific dotes: <br /> TB- j 15113 HCI H2O z X <br /> EU3&EU4Iv1ID iltSI �� HCl HO 3 X <br /> ti <br /> 0 <br /> 0 <br /> CU <br /> i <br /> 3 <br /> k <br /> 72-3-63530 Chain of custody <br /> Preservation Used: 1=Ice, 2=HCI; 3=IIMSO4; 4--HNO3; 5--NaOH;6=Other <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than 9 month) <br /> ® Non-Hazard = Flammable E:j Skin Irritant Poison B© Unknown © ©Return To Client ©Disposal By Lab Archive For Months <br /> Special Instructions/QC Requirements sr Comments: REPORT DATA IN EDS'FORMAT GLOBAL ID SL205012989 <br /> Relinquished by: Company:Environmental Dat I `F Received by Company:Test America Dat im <br /> Cost Ntanagcment,Inc. e J // /� /f�� <br /> Relinquished by: Company - Dat-Ti e: Receii by: Company:n D efTime: <br /> Relinquished by: Company- DatvTime: Received by: Company: Daterrime: <br />