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❑ F-1 Ll Ll <br /> V�?❑57 LP <br /> TestAmerica San Franciscoesten's 790CD <br /> 1220 Quarry Lane N <br /> LO <br /> Chain of Custody Record THE LEADER IN ENVIRONMENTAL TEsFING o <br /> Pleasanton,CA 94566 0 <br /> phone 92$.484.1919 fax 925.600.3042 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Hinaynk Acharya Site Contact:Chris McCormack Date: COC No: <br /> Environmental Cost Management Inc.(ECM) TeUFax: (661)255-1693 Lab C©ntact:Dimple Sharma Carrier. KIM of COCs <br /> 3525 Hyland Ave Suite 200 <br /> An lg Tamerouad Time Job No. <br /> Coate Mesa,CA 92626 Calendar(C)or Work Da m: C <br /> (714)662-2759 Phone TAT Wdi€fsmat from Hated <br /> (714)662-2758 FAX 0 2 weeks SDG No. <br /> Project Name: Nestle © 1 week <br /> Site: Ripon,CR © 2 days ;p <br /> P O# C3 1 day <br /> Sample ant <br /> Sample identification Sample Date Time Pres. Matrix Cana Sample S ecMc Notes: <br /> 7501 KIERNAN 2008 EFF �11 10708 HCl H2O 3 x <br /> 7501 KIERNAN 2008 MID HCl H2O 3 x <br /> LO <br /> 0 <br /> 5725 HALL 2009 EFF HCl H2© 3 X <br /> (14 <br /> C 5725 HALL 2009 MID 6-9�y�.r$ HC1 H20 3 X <br /> CO <br /> tl <br /> 802 VERA EFF }2�{} ()= Z HCI H2O 3 X <br /> 802 VERA MID 10',r15 HCl H2O 3 X <br /> 5724Ha11 ����5 �:?�g HCl H20 3 X <br /> T13- 4 6 >('pt3 HCI H2O 2 x <br /> Ll <br /> Preservation Used: 1=Ice, 2a HCl; 3=H2SO4; 4WHNO3; 5=Ne©H;6=Other <br /> Possible Hazardldenflfrcndon Sample Disposal(A fee maybe assessed if samples are retained longer then 4 month) <br /> Xon-Ha_ard © Flammable © Skin Irwrom PaisoJ;] I srArro;r� ©Return To Client Disposal By Laic ©Archive For Months <br /> Special lustructionslQC Requirements&Comments: `v`O GEOT zRACKEr <br /> O�f <br /> Relinquished by: Company:EnAromnemal Date T' e: Received by: Company:Test America Date.^Tim • (( f <br /> Cost Management,Inc. <br /> Relmgmshed by: Company: Date/Time; Recenmd by: Company: Date/Time: <br /> Relinquished by: Company: DateJTime: Reserved by: Company: Daterrim. <br />