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TestAmerica San Francisco �� CN <br /> 122.0 Quarry Lane 0 <br /> Chain of Custody Record =� =z ��c7 Nc- C14 <br /> Pleasanton,CA 94566 110( 5 �� L� -57, � <br /> phone 925.484.1919 fax 925-600 3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: BinayakAcharya Site Contact:Mark Czipka Date: p�,)]C II COC No <br /> Environmental Cost Management Inc.(ECM) TeVF= (661)255-1693 Lab Contact:Dimple Sharma Sampler: of COCS <br /> 3525 Hyland Avenue, Suite 200 Analysis Turnaround Time Job NO. <br /> Costa Mesa,CA 92626 Calendar(C)or work Days(W): C <br /> (714)662-2759 Phone TATIdi@8mutfrom Uow rfi <br /> (714)862-2758 FAX ® 2 weeks SDG No. <br /> Project Name- Nestle D I week <br /> Site: Ripon,CA 0 2 days N <br /> PO# Q Iday <br /> rJ <br /> U <br /> Sample tof O <br /> Sample Identification Sample Date Time Pres. Matrix Cut. Sample Specific Notes: <br /> 7501 KIERNAN 2008 EFF p4i,013 13 011!J 1 HCI H2O 3 X <br /> 7.501 KCERNAN 2008 MID J_ ! �;y 6 HCI H2O 3 X <br /> 5725 HALL 2009 EFF P1111)(1 01:*-;�) HCI H2O 3 X o <br /> 5725 HALL 2009 MID �— /� = S HCl H2O 3 X N <br /> N <br /> CU <br /> a_ <br /> 802 VERA.EFF 1- 1Gllf3 to X09 HCl H2O 3 X - <br /> 802 VERA MID HC1 H2O 3 X <br /> TB- Ml l i5 !x}t�9 {�j Lira=`�� RCI H2O 2 X 720-54486 Chain of Custody <br /> Preservation Used: I=Ice,2=HCI; 3=H2SO4; 4—HNO3; 5=Na013,-,(r Other <br /> 1'ossrb1eHa:and IdeaaJ7eadan Sample Disposal(A fee may be assessed ifsampfes are retained longer than f month) <br /> ® Non H=ard 0 Flommabie 0 Sknt Imtant Poison B Unknown QRetum To Clsent ®Disposal By Lab [—]Archive For Months <br /> Special imtructions/QC Requirements&Comments: NO CaFO't`RA,CKER <br /> � QG <br /> Re' nished by Company-Environmental D nue Received by Company TASF Date/T" e g <br /> Cost Management,Inc- I� 3'_1p oto f� J3Y'3 <br /> Relinquished by: ' Company: Date/Time: Pvd by: Company DeRelinqu shed by: Company DateCftme: by: Company Datetime.mte: <br />