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❑ F-1 Ll Ll 19 <br /> M.Wim <br /> 04 70 <br /> ofzv ® N <br /> W a03 <br /> TestAtnerica San Francisco T s� N <br /> 1220 Quarry lane <br /> Chain of Custody Record THE LEADER IN ENVIRONMENTAL TESTING O <br /> Pleasanton,CA 94566 54 Lr) <br /> phone 925.484.1919 fax 925.600.3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharya Site Contact:Chris McCormack Date: !� COC No: <br /> Environmental Cost Management Inc.(ECM) TellFaa: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of=COCl <br /> 3525 Hyland Ave Suite 200 Analysis Tulrnaraund Time Job No. <br /> Costa Mesa,CA 92628 Calendar(C)or Work Days C <br /> (714)882-2758 Phone TAT ifdifferem from Below <br /> 0 <br /> (714)882-2758 FAX ® 2 weeks SDG No. <br /> Project Name: Nestle 1 week <br /> Site: Ripon,CA © 2 days <br /> PO# © Iday <br /> � w <br /> V <br /> Sample put j <br /> Sampileldeatilleotioo Sample Date Time Pres. Matrix coat. w sample S ewi('Notes: <br /> - HCl H2O 2 x <br /> EU3&EU4M1D1 HCl 1H,0 3 X rn <br /> 0 <br /> 00 <br /> (D <br /> 0) <br /> CU <br /> a_ <br /> Preservation Used: 1=1ce, 2=ACI; 3=H2SO4; 4=AN03; 5=NaOH,6-Other <br /> Possible Hazard Idenrrjicadon Sample Disposal(R fee maybe assessed if samples are retained longer than 9 month) <br /> ® Non-Hazard = Flammable © Skin Irritant Poison B 0 UHANOWn © ©Retum 7a Client ®Disposal By I ab ©Archive For Months <br /> Special InstraetiunstQC Requirements&Comments: REPORT DATA IN FDF FORMAT GLOBAL,1D SL205012989 <br /> /n, z 'C- <br /> Relinquished by: Company:Environmental DateMme: f Company:Test America D <br /> 57ate/ri J <br /> Cost Management,Inc. '2>( f q Z-[II n&z� <br /> 2 f <br /> Relinquished by: Company: Daferrime: Received by: Company: DawTime: <br /> Relinquished by: Company: DatelTime: Received by: Company: Datefrime: <br />