Laserfiche WebLink
N <br /> TestAmerica San Francisco N <br /> 1220 Quarry Lane07?OfTest nc <br /> 3 Chain of Custody Record � � � � <br /> THE LEADER IN ENVIRONMENTAL TESTlRG <br /> Pleasanton,CA 94566 <br /> phone 925.484.1919 fax 925.600.3002 TestAmerica.Laboratories,Inc. <br /> Client Contact Project Manager: Hinayak Aebarya Site Contacts Chris McCormack Date: COC No: <br /> Environmental CoSt Management Inc.(ECM) Tel/Fax: (661)255.1693 Lab Contact:Dimple Sharma Carrier: ECM Of=COCl <br /> $525 Hyland Ave Suite 200 Analysis Turnaround Time Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W): C <br /> (714)662-2759 Phone TAT lfddfdaemthomBelow <br /> (714)662-2758 FAX 2 weeks SDG No. <br /> Project Name: Nestle © 1 week y <br /> S'ste: Ripon,CA <br /> 2 days <br /> P O# © 1 dayAn <br /> g <br /> n a <br /> Sample if Of G <br /> Sam ie Identification Sample Date Time Pres. Matrix cont. <br /> A C Sample S eciftc Notes: <br /> TH --7 13,Z® HCl H2O 3 X <br /> i �y HC1 H2O 3 X <br /> 3 r W'-t v F` �L i HCl H2O 3 X � <br /> TK{{.P 1 N <br /> 1 1 q.)Z, HCl H2O 3 X p <br /> I p J3.5� HCl H2O 3 X N <br /> TL 05-31 1 Z- �QrOb HCl H2O X <br /> HC1 x120 3 X <br /> HCl H2O 3 X <br /> HCl H2O 3 X <br /> HCI H2O 3 X <br /> HCl H2O 3 X <br /> HC1 H2O 3 X <br /> Preservation Used: I=lee, 2=HCl; 3=132544; 4=7:NO3; 5--NaOH;6=Other 4]�H <br /> Possible Hazard identification Sample Disposal(A fee may be assessed ifsamples are retained longer than 9 month) <br /> © Non-Hazard � Flammable � Skinlrraunt Poison B© Unknown © ©Return To Ciient =Disposal By Lab ©Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN FDF FORMAT GLOBAL tD SL205012989 <br /> Relinquished by: / Company:Environmental Dat rime: 0 Received b Company:TestAmeriea Date/Time: �. <br /> (/ Cost Management,Inc. .5_3ts-IZ, -5r `/.2- , <br /> Relinquished by: Company_ DatelTime: Rece' by: Company: DaterTune: <br /> Relinquished by: Company: DateTTunc: Received by: Company: Date/Time: <br />