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❑ ❑ ❑ ❑ L e <br /> TestAmerica San FranciscoN <br /> 12 20 Quarry Lane TestAmenca It <br /> lql- <br /> 420 If <br /> Chain of Custody Record \ <br /> Pleasanton,CA 94566 €+-t .L.au='rlr;l.nvikonRlcrF�nL rEsrEtt�: <br /> phone 925 4$4 19114 Fay 925 601)3002 TestAmeriea laboratories,InC. <br /> Client Contact Project Manager: Binayak Acharya Site Contact:Mark C-cipka Date COC No <br /> ECM Consultants Tel./Fax: (661)255.1693 Lab Contact:Dimple Sharma Sampler: rt c ?.� of COCs <br /> 3525 Hyland Ave Suite 200 Anatysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C I or Woik Days(W) C <br /> (714)662-2759 Phone TAT it different fmm Below <br /> w <br /> (714)662-2756 FAX © w weeks $ SDG No <br /> n <br /> Project Name, Nestle D 1 week <br /> Site. Ripon,CA E77121 da s <br /> Y H <br /> PO# m <br /> (] 1 day <br /> w <br /> Sample a of O <br /> Sample Identification Sample Date Time Pees. Matrix carer- x <br /> Sample S csfic Notes <br /> _a2 04 `k 136 Oct! HCI H2O 3 x <br /> 110 H2O 3 x <br /> HCl H2O 3 X <br /> �1:0 HCl 1120 3 X p <br /> •-T)3 ! I i(' HCI H2O 3 x <br /> }l z Sz HC1 1-120 3 X 0) <br /> 110 H20 3 X a_ <br /> _© HC1 1420 3 X <br /> ~ 3: HCI H2O 3 X <br /> 13 :Sb HCI H2O 3 x <br /> M-94C ou- r ,',N HCl H2O 3 X <br /> 7HI4—— = <br /> Preservation lised: I=Ice, 2=HCI; 3=112SO4; 4=HY03; 5=NaOH;6=Other <br /> Possible 11a„ard 1derrrifrafiore Sample Disposal(A fee may be assessed if samples are retained longer than 1 month) <br /> ® ,V'nr-H1_w<1 © I-luminuhle 0 Skin Irritant Pu,.vw,11 17nk,lok'P Return To Client Disposal By Lab =Archive For Months <br /> Special Instructions/QC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL205012989 <br /> Relinquished by Company Envuoaniental Da€e'Tu a 1,,,,,,,:d by Company-rest America Da c Ttmc / <br /> Cost Management,Inc J6!J6 �1 ��$ ! j c <br /> Relinquished by Company Date7imc Rec y Company Datc/Trme <br /> Relmquisbed by Company Date'Ymie Rccetred by Company Dam-rime <br />