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❑ ❑ ❑ ❑ L e <br /> 00 <br /> 0 <br /> N <br /> TestAmerica San Francisco TestAmenaa N <br /> 1221]Quarry Lame <br /> salam no <br /> Chain of Custody Record ;r•z LEAJER IN ENV1R()W+ N-AL IEs;04- <br /> Pleasanton CA 9.1566 <br /> phone 925-484 MQ fax 925 h00 3002 TestAmerica laboratories,Inc. <br /> Client Contact Project Mauagen 6ivayak Acharya Site Contact:N1 ark Czipka Date: CI COC No <br /> ECM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: ' c of77 COC's <br /> 3525 Hyland Ave Su;te 200 Analysis Turnaround'rime s" Job No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W) C <br /> (714)662-2759 Phone TAT ifc[Aacm rrum Belau' <br /> x <br /> (714)682-2756 FAX ® ?weeks N SDG NO <br /> Project Name Nestle I week 0. <br /> Site Ripon,CA 2 days mN <br /> P O it D day e <br /> w <br /> Sample f or O <br /> Sample Identification Sample Date Time Pres. Matrix i Sam le Specific Nines <br /> HCI H2O 3 X <br /> HCI H2O 3 X <br /> 'A) y �W J� U`l=43 HCl 1.120 3 x o <br /> Y1"a7CAIj HCl H2O 3 x <br /> 0 <br /> q�IM cf)'s 1> 11CI H2o 3 x <br /> rY1�TM[y�a•� /l.-1 t ��� 0'&j IICI 1120 3 X <br /> 1C)`•j HCI H2O 3 X <br /> i()I HCI f120 3 x <br /> ^ , i (Z 0- HCl f120 3 X <br /> A, (Z l()"-fj HCI 1120 3 X <br /> y C { -(o 1iCl 1120 3 X <br /> C 1101 H2O 3 X <br /> Preservation Used: 1=tee, 2=HC% 3-MS04; 3=HNO3, 5=NuOH;6=Other <br /> Possible Hazard ldetairication Sample Disposal(A fee may be assessed if samples are retained longer than f month) <br /> p :V ,r-Huarrd © 1 Lunn sable � S6rn IMAVII <br /> l4nvnn 11� i rnknown =Return To Client ®Disposal By Lab =Archive For Months <br /> Special Instruction%/QC[requirements&Comments: REPORT DATA IN EDF FORMAT CLOSAL ID SL205012989 <br /> Relinquished by 4 Company F,nvtroninental Dales€m Received by Cornpany fest Amenca Date a <br /> 11 f Cost Management,lnc 4,1't y t� <br /> RrImgnnshed by Company Dale; 'm - Received b Company DaleefTinie <br /> 7 u1 �q3 <br /> Relinquished b� Company Daterrnme Rec,: ed by Cuvlpany natz"1'ssne <br />