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❑ ❑ ❑ ❑ L e <br /> 00 <br /> TestAlrlerica San Francisco N <br /> TestMaassm�nca N <br /> 12_0 Quarry Lane <br /> EMMEM <br /> Pleasanton,CA 1)4500 Sq I Chain of Custody Record <br /> t"i ETI�'fiElN45 s- <br /> ECJ%AL r =11f.rx <br /> phone 925 484 1919 tar 924 600 3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: 1linayak Acharya Site Contact:Mark Czipka Date: (J, ( COC No <br /> ECM Consultants 1'elfl`ax: (661)255-1693 Lab Contact:pimple Sharma Sampler: �- —7-7777 COCl <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Jots No <br /> Costa Mesa,CA 92626 Calendar(C)or Work Days(W} C <br /> (714)662-2759 Phone r vi,f difl'ennt rm de€nu "t <br /> (714)662-2756 FAX © 2 weeks SDG No <br /> Project Name Nestle 0 m <br /> I weekr, <br /> Site Ripon,CA 0 m <br /> 2 days <br /> P O# 1 day <br /> a <br /> sample Nor Q <br /> Sample Identification Sample Date Time Pre%. Matrix Con€• Sample Spec€ftc Notes <br /> IT) <br /> -�v `i)ldl� 7L ! �t HCl H2O 3 x <br /> I! '` .-)I [,.1 ��4: jay 11C't H2O 3 x <br /> 0) c ��%� ':f S� 110 1120 3 1 X <br /> w ,)i Q0 HCl 1-120 3 x o <br /> HCl 1120 3 x co <br /> TH wC G (7 f HC1 H2O 3 x 0) <br /> CIO <br /> 1101 H2O 3 x <br /> HC1 1120 3 x <br /> HCl 1120 3 X <br /> LtIl 1i 011"6� 1tC'I 1120 3 x <br /> I�" ,S ` �• HCI H2O 3 x <br /> 11c) H2O 3 x <br /> Preservation Used: 1=Ice, 2=HCI; 3=H2SO4; 4=11NO3, 5=Na011,6—Other <br /> srlf cnrio <br /> Passible Hazard Cden Sample Disposal(A fee may be assessed if samples are retained longer than?month) <br /> © N ne-Hucunl I'lumnruble Skin lrnturi! Pow'€H F771 Unk)w n ©Return To Client ©Disposal By Lab =Archive For Moriths <br /> Special Instructions/QC Requirements&Comments: REPORT DATA 1N EDF FORMAT GLOBAL 1D SL205012989 <br /> Relinquished by Company Environmental DateIT€t e r Rece€>,ed Compam Test America DalTim1C <br /> Cost Manapertient,Inc J Y"�/? /� �5�� ey <br /> Relinquished by Company Date/time owed br Company Daten'ime <br /> Relinquished by Company Date.111ne Received he Company Datell'ime <br />