Laserfiche WebLink
❑ ❑ ❑ ❑ L e <br /> 00 <br /> TestAmerica San Francisco cel <br /> 12NIjUart3 LmTes fiAedCaagamm ENO <br /> c � <br /> ® Chain of Custody Record 'J AU(K�N ia�i,U,rA€NtA 73 <br /> 7t ,ti;U <br /> Pleasanlon,CA 94$66 <br /> pl€one 075 484 1019 fak 925 600 300 <br /> TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager: Hinayak Acharya Site Contact:Mark Czipka Date: ') COC No <br /> ECM Consultants Tet/Fax: (6611255-1693 Lab Contact:Dimple Sharma Sampler. l p• of C=1 1 <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Catendar(C)or Work Days(W) C <br /> (714)662-2759 Phone Tn r dAi rent froEn Below, <br /> (714)652-2758 FAX Q 2 weeks $ SOG No <br /> project Name Nestle D 1 week y <br /> Site Ripon,CA ED ?days m ' <br /> 0 <br /> PO# lday a e <br /> w a. <br /> m cc <br /> sample Har a <br /> Sample Identification Sample Date Time Pres. Matrix Cunt »' S Sampfe 5 wric Notes <br /> RPS-1 '1�(�.�d 0`16 HCl H2O 3 x <br /> an- rr <br /> Caltrans 5 '( j HCI H2O 3 x M <br /> PW-6 ' .,,7 110 H2O 3 1 ?C _O <br /> PW-8 0:'j� HCI H2O 3 x <br /> (D <br /> C71 <br /> CU <br /> a_ <br /> Preservation I sed: 1=Ice, 2=HCI; 3=H2SO4; 4=11NO3; 5--NaOH;6=Other <br /> Possible Hazard Idenrifca8nrt Sample gisposaI(A fee may be assessor!if samples are retained longer than 1 month) <br /> ® Non-Ifazard = h7u,mmuhle 0 Skit lrrrranr llwsun R 0 Unknown ED ©Return To Client ®Disposal 8y Lab Archive For Months <br /> Special Instructions/QC Requirements&Comments: NOGEOTRACKER <br /> Relinquished by Company Date/,Y <br /> IR— <br /> Te% Receiv Company /Test America Date1T€me I- <br /> F.CM ConsiAlants /1 r <br /> Rehnqu€shed by Company Dateffm]e Received by Company DaterftmJe <br /> Relinquished by Company Daterf€me Received b3 Companv Date'rime <br />