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TestAmerica San Francisco " ®� Test erica <br /> 1220 Quany Lane V2 <br /> Chain of Custody RecordN <br /> THE l&RpER IN ENVI:i6NMENTA€,TESTING � <br /> Pleasanton,CA 94566 J1 p r <br /> TestAnxerica Laboratories,Inc. <br /> phone 925.484.1919 fax 925.600.3002 <br /> Client Contact Project Manager: Binayak AclTarya Site Contact:Chris McCormack Date: COC No: <br /> Environmental Cast Management Inc.(ECM) TeifBax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of COCs <br /> 3525 Hyland Avenue, Suite 200 Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) <br /> (714)662-2759 Phone TAT ifdifferentCromBelow <br /> (714)862-2758 FAX © 2 weeks SCG No. <br /> ib <br /> Pro)ect Name: Nestle 1 week <br /> site: Ripon,CA 2 days `t <br /> P O# 1 day m <br /> O N <br /> W W <br /> Sample Sample <br /> Sample Identification <br /> Date Tiote Pres. Matrix Cont• � � � Sample Specific Notes: <br /> i� RC_1 �-�Zt HCl H2O 3 X <br /> !) RPS-1 f35t"� HCl H2O 3 K <br /> lz 7717 Kiernan �( � HCI H2O 3 X <br /> 1� 5724 Hall ���� 6 lv� HCl H2O 3 X o <br /> 1051 Robert ;35 HCl H2O 3 XCIO <br /> � <br /> 11 <br /> 4++ <br /> Preservation Used: 1=Ice, 2=HCl; 3=H2SO4; 4=HNO3; 5--Na011;6=Other <br /> Possible Hazard Idenrt,fkation Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® Non Hazard © Flammable © Skin Irritant Poison B © Unknown �Retum To Client ®Disposal By Lab Archive For Months <br /> Special InstrnctionslQC Requirements&Comments: NO GEOTRACXER. <br /> Relinquished by_ Company:Environmental Cost D une: Received by,/-' Com y: Aate/ri c: <br /> Management,Inc.I-LO——----------------- <br /> Relinquished by: Company: DatwTima: Received by: Company: 1l t2frime: <br /> Relinquished by: Company: Aatefrime: Received by: Company: Date/Time: <br />