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❑ ❑ ❑ ❑ L e <br /> 00N <br /> est merlca San Francisco TestAmedca N <br /> I_'_U puarry Lane -420 4.135?oq <br /> � <br /> Chain of Custody Record rNt E,DEa,N ENYIRCNVEN1 aL <br /> Pleasanton,CA 94566 <br /> phone 925 484 1919 ra\925 60(3 3002 TestAmcrica Laboratories,Inc. <br /> Client Contact Project Manager: Binayak Acharya Site Contact:Mark Czipka Date: zq COC No <br /> ECM Consultants TeflFav: (661)255-1693 Lab Contact:Dimple Sharma Sampler: r. � ;+ / of _,,�_ COCl <br /> 3525 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 l A r rf dillerent from Beiow <br /> (714)662-2758 FAX © 2 weeks $ SDG No <br /> Project Name Nestle 1 week r <br /> Site Ripon,CA © , fA <br /> _days <br /> P09 0 I day Q <br /> rL <br /> Sample aat O <br /> Sample Identification Sample Date 'Time Pres. Matrix Cow. <br /> Sample Specific Nutes <br /> j- cls}i ft Sj ice?;} HCl H2O 1 3 X <br /> ~ :l l !:o 1 HO 1120 3 x <br /> 1101 H2O 3 X <br /> 11C1 1120 3 X o <br /> y HC1 H2O 3 X <br /> # <br /> 110 H2O 3 X N <br /> HCI H2O 3 X _ <br /> HC1 H2O 3 X <br /> - r- HCI H2O 3 x 720-85891 Chain of Gustody <br /> "7 HCl H2O 3 X <br /> 14'. HCl 1120 3 X <br /> �,C) C ��[ ��; HCl 1120 3 x <br /> Preservation Used: 1-Ice, 2-HCI; 3=H2SO4: 4=11NO3; S=NaOli;6=Other <br /> Possible Ha urd ldentifirarion Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> © Non-H arrrrd 11 hlrrnan'Mi, Skin Irrrluirl blik-nown L-1 ©Return To Chenf ©Disposal By Lab L--JAlohive For Months <br /> Special Instructionslf2CRequirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 r <br /> S3 <br /> Rehnquu.bed by r C'onxpany Environmental DatqfFitpe Itecety v Company Test America Dave inx / <br /> Cost Management,Inc �� .' L <br /> Relinquished by Company Date/Time ecetved by Campany DatelTrmc. <br /> Relinquished by Company Daterrime Received by Company DatelTime <br />