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5(o S 1 <br /> T cstAmerica San Francisco <br /> • � m� c\ <br /> O <br /> 1220 Quarry Lane <br /> Clain of Custody Record <br /> Pleas.-cton,CA 94566 <br /> phone 925.484.1919 fax 925 60D.3002 Test`merica La orat©rte, c. <br /> Client Contact Froject Alanager- Binayax Aeharya Site Contact:Mark Czipka Date: L; s 01 GOC No: <br /> Environmental Cost Management Inc.(ECM) 'I'el/Fas: (667)255-1693 Lab Contact:Dimple Sharma Sampler: -,,r1( L-4t �_ of CDCs <br /> 3525 Hyland Ave Suite 200 Analysis Tumaround 11me ?`1 Job No. <br /> Costa Mesa,CA 92626 Calendar(C)or work Days(W): C <br /> (714)6622759 Phone TATifdiffermtfromBdow t <br /> (714)662-2758 FAX ® 2 weeks SDG No, <br /> E <br /> Project Name. Nestle 1 week <br /> Site: Ripon,CA 2 Sys <br /> PO# © iday F <br /> w <br /> Sample a of <br /> Sample Identification Sample Date Time Fres. matrix Conc w Sample S ectixc Motes: <br /> T13- 0403, SCI HzO 2 X <br /> EU3&EU4EFF HCI H2O 3 X <br /> EU3&EU4WD f - HCI H'0 3 X <br /> EU3&EU4NF lag HCI HO 3 X N <br /> 0 <br /> CV <br /> N <br /> 2� <br /> (a <br /> 720-56571 Chain of Custody <br /> Preservation Used: 1=Ice, 2=H" 3—U28O4; 4--T03; 5 NaOH;6=Other <br /> Possible ffazard Iderttiftcadori Sample Disposal(A fee may be assessed if samples are retained longer than 9 month) <br /> ® Non Razard Flmnmable 0 Skin Irntant Porson BD Unknown L-3 ©Return To Client Disposal By Lab Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA LN EDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished by / Company Environmental Dsteffime Received py Company Test America Da[te�/I,T�me: <br /> Cost Management hic- 1 fj:� U�' r T �`f <br /> Relinquished by. Company: DaWFimc- Received by. Company: Date/Time' <br /> Relinquished by. Company: DatcMme: Received by: Company. Date(fime: <br />