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TestAmerica San Francisco menca <br /> 1220 Q€€any Lane C) <br /> Chain of Custody Record HE E_ADc�Q <br /> Pleasanton,CA 94566 <br /> CV <br /> TestAmerica Laboratories,Inc. <br /> phone 925.484.1919 fax 925 600.3002 <br /> Client Contact Project Mana-ger: Bi€tavak Aeharya Site Contact.Chris McCormack Date: i.l 111 COC No <br /> Environmental Cost Management inc.(ECM) Tell = (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECM of__. _,_._ COCl <br /> 3525 H land Ave Suite 200 Analysis Turnaround Time 3 Job No. <br /> Y 7� <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W): C <br /> gff, <br /> (714)662-2759 Phone TAT SdiFferenlfron,Ml—_ Via= m <br /> SDG No. <br /> ® ?weeks <br /> (714)662-2758 FAX o0 <br /> Project Name: Nestle © 1 week l m <br /> Site: Ripon,CA 2 days <br /> F0 if D lday <br /> u <br /> Sample ttos d <br /> Sample Identification Sample Date Time Pres. Matri.-c Coat• " Sample Specific Notcs: <br /> TB-0'-j 1$1'2 1-11161il €�6 W HC1 H20 3 X <br /> MW-5 ( �= � HCI H20 3 <br /> fl X <br /> MW-11 :� 5� HCI H20 2 X <br /> M <br /> O <br /> M <br /> N <br /> CU <br /> a_ <br /> Preservation Used: 1=lee, 2=HCl; 3=H2SO4; 4=HN'03; 5=NaOH;6=Other <br /> Possible Hazard Identrfieatiou Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> © mon—Ha=as = Ffansnrable © Skin Irritaiat Poison 80 unknown © =Retum To Client ©Disposal By Lab ©Ambim For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDS'FORMAT GLO AT ID SL205012989 <br /> Relinquished by: Company:Environmental DatMme: Received by: Company:Test America Date-Mme;�'"`�� P ®� <br /> Cost Management,Ine_ 6, / <br /> Relinquishedby: Company: <br /> !^ Daterlime: Receivedy Company: DateCli e: <br /> JJt�` -1ST 902 <br /> Relinquished by: Company DatelT'ime: Raceiv y: Company: Datefl-ime- <br />