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7ZO I q <br /> TestAmerica Lane San Francisco TestAmedca <br /> 1220 Quarry Lane <br /> Chain of Custody Record <br /> Pleasanton,CA 94566 <br /> phone 925484.1914 Fax 925.600.3002 Test4merics Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharya Site Cootact.Chris MWormack Date: COC No: t. <br /> Environmental Cost Management Inc"(ECM) Tel/Fax: (661)255 1643 Lab Contact:Dimple Sharma Carrier: ECM of COC' <br /> 660 Baker Street Suite 253 anal ala Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W): (7 <br /> (714)662-2759 Phone TAT if different from Be loH <br /> (714)662-2758 FAX 2 weeks SDG Na" <br /> Project Name: Nestle 0 1 week <br /> Site: Ripon,CA O 2 days <br /> P O# S Ripon O I day 9 as <br /> h <br /> Sample Sample :or <br /> Sample Identification hate Time Pres. Matrix Coat. Sample Specific`rotes: <br /> 7501 KIERNAN 2008 EFF ��� �',�� HCl H.O ? X <br /> 7501 KIERNAN 2008 MID �y'• � HCl H•O N <br /> 7501 KIFRNAN 2068 TNF � IICI H2O <br /> 5725 HALL EFF 51516 ys'. HCl H_O 1 <br /> 5725 HALL MID #�� HCl H.O <br /> 5725 HALL INF y5'.` HCl 1I.o 3 <br /> $ s❑SO1 1`i'150 HC 1 1110 X <br /> Preservation tlsed: 1=Ice, 2=IW 1, 3-HZSO4; 4-11NO3; 5=Ns011;6=Other <br /> Possible Hazard fdentifrrarion Sample Disposal(A fee may be assessed If samples are retained longer than f month) <br /> = Xon-Ha_ard 0 Flammable 171 Skirt L•rtrani Aoisw:B© C'vpzlfour = =Relurn To Cfient Dispasal By Lab Archive For Months <br /> Speclai lnstroctionsQC Require meats&C'antments: 1111 Geo IrNl keI- <br /> Relinquished by: I Company: ,�/� Date Time:��' Re• b�: C"o an.: Date un <br /> I I 6� tCc .r f 1 I..] U <br /> Relinquished by: Company: Date�Time Receh Company: Date,Time" <br /> Relinquished by: Company: Date-Time: Received by: Company' NmTime. <br /> Page 21 of 24 <br />