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120 <br /> 1, g _N <br /> TestE�ltlt.rica San Francisco Test do o <br /> 1220 Quarry Lane <br /> N <br /> Chain of Custody Record LLLJJJ THE EAGER IN ENVIRaNMrWTM-TESTING N <br /> Pleasanton,CA 94566 <br /> TestAmerica Laboratories,Inc. <br /> phone 925.484.1919 fax 925.600.3€102 <br /> Client Contact Project Manager Binayak Acharya site Contact:Chris McCormack Date: _! z COC Na: <br /> COCs <br /> Environmental Cost Management inc.(ECM) Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Carrier: ECLAT of <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time .lob No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W): C <br /> (714)662-2755 Phone TAT ifdiffarentfrom Below <br /> (714)662-2758 FAX <br /> V7 2 weeks a SCSG Na. <br /> 00 <br /> Project Name: Nestle © 1 week <br /> Site: Ripon,CA © 2 days <br /> P 0# © 1 day w d <br /> � a. <br /> Sample t€of w g <br /> Sam le Identification Sample Date Time Pres. Matrix Cun+• ; Sample Specthc Notes: <br /> �Z /C3% c HCl H2O 3 X <br /> HCl H2O 3 x <br /> HCl 120 3 x o <br /> �� HCI H2O 3 X <br /> 0 <br /> T <br /> " r F1Ci H2C? X 00 <br /> t✓ o <br /> HC1 H2O 3 x <br /> HCl H2O 3 x li <br /> _ :q 0 HC1 H2O 3 X <br /> HC1 H2O 3 X <br /> of, HCl H2O 3 X <br /> "2 +J �;.D(0 HCl H2O 3 X <br /> (p HCI H2O 3 X <br /> Preservation Used: 1=Ice,2=Hee; 3--112904; 4--HNO3; S=haOH;6=Other <br /> sample Disposal(A fee maybe assessed if samples are retained longer than?month) <br /> Possible Hazard Identificatloh <br /> � l8y Lab ©Archive For Months <br /> Non-Hazard ©Flammable © skin Irritant poison B© Unknown © ©Return To Client Disposa <br /> Special InstructionslQC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished by: Company:Environmental Datelrime: It f Received by j Compan est erica Datelf' e: <br /> Cost Management,Inc. ��Z 1"t L✓� C l <br /> Relinquished CoVW Dat i $ Ree ive Company: lyate/1i <br /> rKIF <br /> Relinquished by: Company: Datefrime: Received by: Company: Date/time: <br />