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❑ F-I LI LI e <br /> � � N <br /> TestAmerica San Francisco r _ <br /> 1220 Ctuany Tare I eS}AMe c✓(a N <br /> Chain of Custody Record <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 fax 925.6011.3002 TestAmerica Laboratox es,Inc. <br /> Client Contact Project Manager: Binayak Acharya Site Contact:Chris McCormack Date: j COC no, <br /> Environmental Cost Management Inc.(ECM) TWF'ax: (661)255-1693 Lab Cantact:Dimple Sharma Carrier: ECM of CDCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No. <br /> Costa Mesa,CA$2626 Calendar(C)or Wotk Bays(W): C <br /> (794)682-2759 Phone TATedtfarentRomBetaw a <br /> (794)652-2758 FAX ® 2 weeks SDG No. <br /> Project Name: Nestle © 1 week <br /> Site: Ripon,CA © 2 day g <br /> PO# © 1day g <br /> Sample <br /> Sample Identification Sample Date Time Pres. Matrix CauL Sample Specific Notes: <br /> 2 <br /> EU3&EU4MID2 '1 101 r, HCl H2,0 3 X <br /> 0 <br /> 0 <br /> CU <br /> iL <br /> Preservation Used: i=Ice, 2=HCI; 3=HZS04; 4=HNO3; 5=N-aOH;6=Other <br /> Possible Hazardldenkfieation Sample Disposal(A fee may be assessed ff samples are retained longer than S month) <br /> © Mon-Hazard © Flammable © Shin Irritant PofsorFZ,3 U kno p =Return To Client ©Disposal By Lab ©Archive For Months <br /> Special lnstructionsfQC Requirements&Comments: REPORT DATA INTEDF FORMAT GLOBAL YID SL20,5012989 <br /> Relinquished by: fCompany:FAivironmental Datallume: Received by ......� Company.Tess America D <br /> ga <br /> �te/Time: <br /> Cost Manageme /nt,Ino. -v-"f- ( �a <br /> Relinquished by: Company: { DatoTime:/� UZ�bY. <br /> Co auy: DarwTime:Relinquished by: Company: Datef7ime: Company: Datefrime: <br />