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❑ F-1 F1 F1 <br /> T"estAmeriea San Francisco �tlf N <br /> 1220 Quarry Lane €D Cu oChain <br /> Pleasanton,CA 94566 SQi�RQC01'[� ! V J) Ea r € Ecau;ac ;as yr sI 11S1111i <br /> phone 925.484.1919 fax 925.600.3002 <br /> estAmeries Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Aeharya Site Contact:Chris McCormack Date: �, � COC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (651)255-1593 Lab Contact:Dimple Sharma Carrier: ECMof COCs <br /> 3525 Hyland Avenue, Suite 200 Analysis Turnaround Time � Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) f41 <br /> (714)662-2759 Phone TATifdiN7 nt from Beim, <br /> (714)662-2758 FAX © 2 weeks ( SDG No <br /> ProjectName_ Nestle , <br /> I-2 <br /> l <br /> Site: Ripon,CA 2 doe}s Ii' <br /> c <br /> PO# s <br /> O 1 day , <br /> W <br /> Sample Sample <br /> q Sample Identification Date Time Pres. Matrix Cont. t > Sample Specific totes: <br /> d <br /> b/ <br /> RC-1 41161,1, 0 9109 HCI H2O 3 X <br /> RC-2 q,00 HCl H2O 3 X <br /> 5724 Hall ) HCl H2O X ++ <br /> d' M <br /> CV <br /> N <br /> C� <br /> CU <br /> a_ <br /> Preservation Used: 1=Ice, 2=HCI; 3=H2SO4; 4=HNO3; 5=NaOH;6=Other <br /> Possible Hazard Identification Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® Afon-Hasvrd © Th7mmahle .Skin Irrilanr Poison A © Unknown � ©Return To Client ®Dl5posal By Lab ©A chive For Months <br /> Special Instructions/QC Requirements&Comments: NO GE©TRACKFR. <br /> =42 • °C, <br /> Relinquished by: / Company:Environmental Cost Dateff me: Received by: Company: Date Ii <br /> / Management,lac. a�W jx xv � � � ��hQ <br /> �ry <br /> Relinquished by: Company: Datc/Ti, : Received by: Com'any: Date-q't e: !/ <br /> <7yyr-- <br /> Relinquished by: Company: Daterrm'ie: f Received <br /> }: CO€npaFry: DateR'ime� <br />