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TestAmerica fan Francisco � � N <br /> 1220 QuanT Lane <br /> Pleasanton,CA 94566 <br /> ® QMAI OR <br /> Chain of Custody Record _€_ t ra€n t •r::to 'tar3xa€.r:_:f€vc <br /> CV <br /> phone 925.484-1919 fax 925.600.3002 TestAmerica Laboratories,Inc. � <br /> Client Contact Project Manager: Rinayak Acharya Site Contact:Chris McCormack Date: COC No: <br /> Environmental Cost Management Inc.(ECM) Tel/Fax: (661)-255-1693 Lab Contact;Dimple Sharma Carrier: ECof COCs <br /> 3525 Hyland Ave Suite 20D Analysis Turnaround Time <br /> i Job Na <br /> Costa Mesa,CA 92626Calendar(C)or Work Days(FW): C <br /> t <br /> (714)652-2755 Phone <br /> TAT ifdiffereatfrom 13efow i=I <br /> 714 662-2758 FAX ® 2 <br /> ( ) weeks , SDG No. <br /> t' <br /> Project Name, Nestle Cj <br /> 1 week <br /> Site: Ripon,CA 2 days ff'i Ci <br /> fit <br /> P O# D 1 day <br /> a. <br /> Sample kof O <br /> Sample Identification Sample Date Time Pres. Matrix Cont. -i <br /> Sample Specific Notes: <br /> t, TB- 0116 �i)�S l� 1067�g HCI H2O 2 X <br /> L MW-3 i37 HCl H2O 3 X <br /> MW-7 -� HC[ H2O 3 X <br /> "1 <br /> l MW-10 © .�� HCl H2O 3 X <br /> M <br /> MW-13 ` :OD HCI H2O 3 X 0 <br /> MW-14 CC:)7HCl II20 3 X (70 <br /> (70 <br /> MW-16 :� HCI H2O X 0 <br /> MW-18 ( IICI H2O 3 X <br /> f MW-9 HG H2O 3 X <br /> v • F� Ic na ��� <br /> Preservation Used: 1=Ice, 2=HCl; 3=HZSO4; 4=HNO3; 5mtvaOH;6=Other <br /> Passible llrrrrrd Iderrrification A 111.7 <br /> Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> © 'VOtt-Hazard © Flammable able © Skin Irritant Poison B Unlarown L:]Return To Client ®1}isposa!8y Lab ©Archive FOY MonfhS <br /> Special Instructions/0C Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID 5 ,205412989 <br /> Relinquished by: Company:Environmental Date ime: Received by: Company:Test America Datefrime: <br /> Cost Management,Inc. y1 } { <br /> Relinquished by. _ Company: Datelrime: Received by: Company: DateRW) <br /> 1� 1-18�� / "r __— j 4Wr5, f Z <br /> [telinq€fished by Company: Date/Time: Received company: Dat/Time. <br />