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❑ F-I LI LI e <br /> TestAmerica San Francisco /. <br /> . ., J ��.. !_ , _ ` o <br /> 1220 Quarry Lane � � C <br /> Chain of Custody Record T HE_Ef-,:,.n,V'IV!aV We.r..A,. .rs,;ur � <br /> Pleasanton,CA 94566 N <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) TeWFax; (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of cocs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Jots No. <br /> Costa Mesa,CA 92626 Calendar{C)or Work Days(M: C <br /> (714)662-2759 Phone TATirdfffenmtrxomBelmv <br /> (714)562-2758 FAX © 2 weeks N SDG No. <br /> Project Name: Nestle © I week <br /> Site: Ripon,CA © 2 days H <br /> PO# © Iday <br /> � w <br /> `�79 <br /> W <br /> U <br /> Sample uor o <br /> Sample Identification Sample Date Time Pres. 1Vlatris Canty Sample Specific Notes: <br /> ' 9c1 411112. 1`16 HCl H2O 3 X <br /> a ! A HCl H2O 3 X <br /> HCl H2O 3 X <br /> 0 f�� HCl H2O 3 X <br /> 0 <br /> jam ' HCl H2O 3 X LO <br /> HCl H2O .` X 0 <br /> HCl H2O 3 X a_ <br /> HCl H2O 3 XI I <br /> HCl H2O 3 X <br /> HCl 1-120 3 X <br /> HCI H2O 3 X <br /> HCl H2O 3 X <br /> Preservation Used: 1=lee, 2=HCI; 3=IUSO4; 4=E-LNQ3; 5=NaOH,,6=Other <br /> Passible lgasard IdmiWadanii--ii Sample Disposal(A fee may be assessed ifsamples are retained longer than 1 month) <br /> © Non Hazard © Fiamwabie © SIM Irritant P111.191 UnknrnvP ©Return To Client ©Disposal By Lab © Archive For Months <br /> Special InstructionslQC Requirements&Comments: REPORT DATA W. , EDF FORMAT GLOBAL ID 2 L; _ 'IW <br /> Al /I <br /> Relinquished by: Company:Lmvirom nomal DatcTime: ,) Roccived by: Company:Test America Datc/Time: <br /> 7171F�:� Cost Management,Inc. �—f <br /> Relinquished by: Company: Date/Time: R y: Company: atoll ime: <br /> Relinquished by: Company: DawTime: Received by: Company: DatcvTiime: <br />