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TestAwerica San Francisco ��� � ��� � "` n `°' <br /> 1220 Qaarty Lane Cain of Custody Record <br /> r'Snnc N <br /> plemanton,CA 94566 TestAmetica Laboratories,IM— <br /> phone 925.484.1919 fax 925.600.3002 COC No: <br /> Client Contact Project Manager: Sinayak Acharya Site Contact.:Chris McCormack Date: W.8 1 <br /> Lab Contact:Dimple Sharma Carrier: ECM of COCs <br /> Environments!Cost Management I=(ECM) TeUitam (66I)255-I593 fa No. <br /> 3525 Fiy[and Ave Suite 2€74 Analysis Turnaround Time <br /> Casts Mesa,CA 92626 Calendar(C)or Work Days(W).:., C <br /> }lone TAT if different from Below A <br /> (714;fi62-2759 SDG No. <br /> (714)662-2758 FAX <br /> ® 2 weeks �. <br /> Proj=Name: Nestle © I week <br /> Site: Ripon,CA © 2 days <br /> Po# <br /> Sample #ar =�: <br /> Cont. Sampke Sgeeific Notes: <br /> Sample Identification Sample Date Time fres. WU2 <br /> i <br /> C ' Z :� HCl3 X <br /> �rl�.✓6 HCl 3 X <br /> -17 HCt H20 3 x <br /> 00N <br /> 17-:55— HCl H2O 3 X <br /> 0 <br /> HCl H2O 3 X <br /> c HCl H2O 3 X � <br /> ' HCl H2O 3 X III CU <br /> i s"I Z !q 5i HCl H2O 3 X <br /> 40-l2 HCI H2O 3 X <br /> -7f _y Z HCl H2O 3 X <br /> ' HC3 1I20 X <br /> LY) -- G� '1D-!Z )J'Z HCl H2O 3 X <br /> Preservation Used: i=Ice, 2=HCI; 3=H2SO4; 4--HN03; S=1vaOH',6=Other <br /> Possible IXazard Idemficatiun sample bisposai f A fee may be assessed It samples are retained longer than 9 month} <br /> © Nan-Hazard © Flammable 0 Skin Irritant Poiso19P CJs�knoti ©Return 7o Clienf ©Uisposaf 73y Lab © A/chive For Months <br /> Special Instructions/QC Requirements&Comments: REPO R'Tj DAT_- EN EDF FORM ATGLOHAL ID SL202512999 <br /> Compaay:Environmental DateTime: *Rc—ocivCy: <br /> Company:Test America Datye�Time: I <br /> Relinquished Uy: L �' t <br /> Cast Management,Inc. (�' <br /> I3atelTima: Company: Date1T' e; <br /> Relinquished byi Company: <br /> DaWrmie: <br /> Relinquished by: <br /> Company: Dare Time: Company: <br />