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�wwl F�L-5A:T <br /> TestAmerica San Francisco <br /> 1220 Quarry Lane Test c <br /> �7"i."v.�aRt...'-�`f.:�:�rT,•.'.R`y�'.';^,'�:�:%:.-.%w_�;.z3...7..r.3 <br /> Chain of Custody Record <br /> -.ME LEAbtR ih;~hiR��iAL 7in$TiI�G <br /> Pleasanton,CA 94566 71 <br /> phone 925.484.1919 fax 925.600.3002 TestAmerica Laboratories,in€, <br /> Client Contact Project Manager: Binayak Aeltarya Site Contact:Joseph Plummer Date: 2. COC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Fax. (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of COC, <br /> 3528 Hyland Ave Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C or Work Days W) Q <br /> (714)662-2759 Phone TAT if different from Below <br /> (714)662-2758 FAX © 2 weeks � SDG No. <br /> Project Name: Nestle © I week <br /> Site: Ripon,CA 2 days o <br /> PO# Iday e <br /> Sample of Q <br /> Sample Identification Sample Date Time Pres, TVlawm Coni. Sample S ecific Notes: <br /> xcl H,0 X <br /> C T—Z`t — 3 ftp �'0� HCI H2O ILX <br /> Hel H-10 X � <br /> HCl x,0X w <br /> 0 <br /> HCl HO x W <br /> H <br /> HCI X120 x aw <br /> rs <br /> Anil 90!� Al <br /> ro <br /> a <br /> Preservation Used: 1-lee, 2=HCl; 3=H2SO4; 4=HNO3; S=NaOU;6=Other <br /> Possible Rozard IdenJifrcarion Sample Disposal(A fee may be assessed if samples are retained longer than I month) <br /> 0 Nos?-H=j d © Flammable Q Satin Is,ira„r Poi CJ;D ru"k-" ,tp Return To Client Disposal By Lab ©Archive for Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA T\EDF FORINUT GLOBAL ID SL205012989 <br /> 5f+ <br /> Relinquished by: Company:Environmemtzl Datg T�' e: c ' by: Company:Test America t Time <br /> Cost Management,Inc. z 3/'d /.r V S2�7 �t� <br /> g ' Com y: a ime' T: Com Date/Time: <br /> Relinquish Company: Dategime: Received by: Company: Date/Time: <br />