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❑ F-1 Ll Ll e <br /> e <br /> TestAtnt;rica San Francisca lao 2 7 TestAmencao <br /> 1220 Quarry Lane �rte` N <br /> Chain Of Custody Record ��s <br /> �( ' T?iE LEAaER IN EVVIRONMENTAL rESrilvGPleasanton,CA 94566 `fLr)'TestAmerlca Laboratories,Inc. <br /> phone 925.484.1919 fax 925.600.3002 <br /> CSite Contact:Chris McCormack Date: - _l COC-No: <br /> lient Contact Project Manager: Binayak Acharya <br /> a Sharma Carrier: ECM of COCs <br /> Environmental Cost Management Inc.(l Cnnrj Tel/Fax: (661)255-1693 Lab Contact:Dimple <br /> 3525 Hyland Ave Suite 200 Aaalysls Turnaround Time <br /> Job No, <br /> Costa Mesa,CA 92626 Calendar.(C)or Work Das(W): C <br /> (714)662-2759 Phone TAT if different from Below $17G No, <br /> (7'14)662-2758 <br /> FAX 2 weeks <br /> Project Name: Nestle 1 week <br /> Site: Ripon,CA © 2 days d o <br /> PQ# © Iday e <br /> r� w <br /> Sample #!of 'a O <br /> Sample Identification Sample Date Time Pres. matrix Coat. � x Sample Specific Notes: <br /> 5-1'� ► iL;3Z, HCl H2O 3 X <br /> _5' G / -jZ2;L HCl H2O 3 X +1 1 <br /> 03 HCl H2O 3 <br /> I�, X o <br /> IP6-0 HC1 H2O 3 X <br /> 0 <br /> HCl H20 3 X o <br /> 1 ; <br /> 30 HC1 'no 3 X 0 <br /> 1-1 a� <br /> 3 7) 14CI H2O 3 X �6 <br /> 3 HCl H2O 3 X <br /> HC1 H2O 3 X <br /> HC1 1-120 3 X <br /> HC1 H2O 3 i X <br /> 06-1H2O 3 X <br /> Preservation Used: J=Ice, 2=HCl; 3=H2SO4; 4=HN0 3; 5--NaOH;6=Other <br /> Possible Hazard IBentificatian sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> E3 Non-Hazard Flammable © Skin Irritant Poison B© Unknown © ©Refum To Client ©Disposal By L.ab Archive For Months <br /> Special instructions/QC Requirements Comments: REPORT DATA IN EDF FORMAT GLOBAL ID 5 205012939 <br /> Rec <br /> Comp Test America D otic: <br /> Relinquished by: Company:Environmental Date/Time; �� S � .. n <br /> Cost Management,Inc. <br /> Relinquish Com y: Datty-Titper� eceived Com any: —, Da <br /> Relinquished by: Company: Date/Time: Received by: Company: Date/Iime: <br />