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TestAmeraca San Francisco �Lo WN"M doom <br /> i <br /> � o <br /> 1326 Quarry Lanz a . s CV <br /> Chain o4E Custody Record :we;aRa�R re.s�v rer area§a.z_a<,wa N <br /> Plessenron�C.: 94556 i/ — <br /> phone 925A94.1919 fax925.6003002 Test$.meexcaLa'borarories,Fnr- <br /> Client Contact Project Manager: Sivayak Acharya Site Contact:Mark Czipka Date: tI COC No- <br /> Environmental Cost Management inc.(ECM) Tel/F= (661)255-1693 Lab Contact:pimple Sharma Sampler: Mirk C-7v --L— of=COCs <br /> 3525 Hyland Ave Suite 200 A-"Iysis Turnaround Time Job No <br /> ;.E <br /> Costa Mesa,CA 92626 Calendar(C)ar Worl:Da„s(W)' C <br /> (794)662-2759 Phone TnT r£difF tfrom Echo <br /> (794)662-2758 FAX ® 2 weeke N EE SOG No. <br /> s <br /> Project Name, Nestle © 1 week AllI 1�1 <br /> Site: Ripon,CA © 2 days u i <br /> PO# 0 Iday <br /> � E � <br /> Sample #of O <br /> Sample Identification Sample Date Time Area Matrix Cont. Sample Specific Notes: <br /> HCI H2O 3 X <br /> 0 <br /> 0 <br /> CU <br /> a_ <br /> 720-56902 Chain of Custody <br /> Preservation Used: I=Tce 2=HCI; 3=H2504; 4=HNO3; 5-NaOH;6-Other <br /> Passible Hazard Idenaficarion Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® <br /> Aron-Hazard Flammable � shm I'rmaru Poison B© Unknown n Return To Client Disposal By Lab Archive For Months <br /> Special InstructionsiQC Requirements&Comments: ILIO GEOTRACKER <br /> Relinquished by_ CD pauxy:Envirommental DatelTime Received by Company:Test Amenca D 3m79 e//f P� <br /> Cost Management,lnc_ ( � �?" e�J//y e <br /> Relinquished by: Company: DatefT e: Received Company:-y �r� DaWl`ime: <br /> Relinquished by- Company. Date/Time: Received by. Company DatefTmle: <br />