Laserfiche WebLink
❑ ❑ ❑ ❑ L e <br /> C> <br /> N <br /> TestAmerica San Francisco Tes#1mericCl N <br /> t2'U Vunrry Lana <br /> Chain of Custody Record LA,'-R'NLW RONMEN,nt T�-,OIN, <br /> Plea_-santon,CA 94566 <br /> phone w25 484 1919 fax 915 600 3002 TestAmerica Laboratories,Inc, <br /> Client Contact Project Manager: 134nayak Acharya Site Contact:Mark Czipka Date• t COC No <br /> ECM Consultants TeVFax: (661)25_q-1693 Lab Contact:Dimple Sharma Sampler: t)Aft :7 _ of CDCti <br /> 3525 Hyland Ave Suite 206 Analysis Turnaround,rime Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) C <br /> (714)662-2759 Phone 7AT rditlerentGumnelow , ___ <br /> rs <br /> (714)662-2758 FAX ® ?weeks $ SDC No <br /> Project Name Nestle j SveeF m <br /> m <br /> Site Ripon,CA O ^days <br /> PO# D 1 day m <br /> a <br /> w <br /> Sample p of O <br /> Sample Identification Sample Date Time Pres. b;atrix Caac Sampla S cif€c Notes <br /> 0' J�- HC1 1420 3 x <br /> - Ott; HCl H2O 3 1 X <br /> 1 HC1 H2O 3 X N <br /> )I),-y I� 0 ) C`��` HCI H2O 3 X <br /> HCl H2O 3 X � <br /> rn <br /> i - HCl II20 3 X <br /> tC3;)� HC1 I120 3 X <br /> FICI 120 3 X 726.85830 Chain of Custody <br /> HCI H2O 3 X <br /> HCl 1120 3 X <br /> S <br /> HC1 H2O 3 X <br /> EOHC1 H2O 3 X <br /> Presenation used: 1=lee, 2—HCl; 3=H2SO4; 1=HNM 5=Na01l;6=Other <br /> Possible Hazard ldenlificadan Sample Disposal(A fee may be assessed if samples are retained longer than i month) <br /> ® :Von-Ifa-anf 0 I•lamtnahk 0 Skin Irntunt Pr».un H 0 t'nknovn 0 °Retum To Chent ©Disposal By Lab =Archive For Months <br /> Special Instructiuns1QC Requirements&Comments: REPORT DATA IN EDF RMAT GLOBAL Ib SL205012989 <br /> 0v <br /> Rdniq€ashed by Company Envuonnu:ntat Dat IS Received by Company 1'est America DatelJT€me <br /> Cost Management,Inc f <br /> Rel€nynFshed by Company Datetftme Rece Conr any Daieffune <br /> �� K& �1S ,7.1 c ❑l 1/ yes <br /> Reknqu€shed In Company DateIrtme Received by Company Dateffune <br />