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❑ ❑ ❑ ❑ L e <br /> 00 <br /> N <br /> TestAmerica San Francisco + �� <br /> 1220 Quarry Lane TestAmenca <br /> Chain of Custody Record -r,c EIOE !H VNVJH()NJV-1°sE,_ <br /> Pleasanton,CA 91506 <br /> phone 425 484 1910 fax 925 600 3002 IestAmer'€ca Laboratories,Inc. <br /> Client Contact Project Manager: Hkavak Acbarya Site('antact:ktask('zipha Date; +7 ] COC No <br /> ECM Consultants TetlFac: (661)2551693 Lab Contact:Dimple Sbarma Sampler: rr Uz- _ 1 oC�_ C't)Cs <br /> 3525 Hyland Ave Suite 200 analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar(C)of Wotk Days(W) C <br /> (714)662-2759 Phone TAT d&ffuent fmm 11dow <br /> m <br /> (714)662-2758 FAX © 2 uerks $ SDG No <br /> Project Name Nestle D I week <br /> Site Ripon,CA 0 days m <br /> P17# I day m <br /> d <br /> rw <br /> Sample pef 6 <br /> Sample identification Sample Date Time Pres. Matrix Corot. S Sample Specific Notes <br /> l'B-041718 H,f7 lb LI: HO 1-120 2 X <br /> M-46A 112�j 11121 H2O 3 X <br /> _00 <br /> 0 <br /> N <br /> I6 <br /> a_ <br /> 720-85954 Chain of Custody <br /> ---------------------- <br /> Preservation Used: 1=ice, 2=1101; 3=H2SO4; 4=IIN03; 5=Na0n;6=Other <br /> Possible Hazard Identifleafion Sample Disposal(A fee may be assessed if samples are retained longer than i month) <br /> © Nwl-h'u_an! = 11,11mnuble Rkm Irruanr Pniaoo HF7 Unk-lu,wn ©Return To Client ©Disposal 8y Lab =Archive For Months <br /> Special instructionslVC Requirements&Comments: REPORT DATA IN EDF FORMAT GLOBAL ID SL2050I2989 <br /> Relinquished by Company Fnv€ronmental Date/1) t !O Rece:vcd by Company Test AFTI Tlea 17 rl Mme <br /> Cost Management,Inc lk ( 1, 1 <br /> Rellttqu€shed to Comp an Daic•'C mye Rece ved y Company <br /> 78 3 26 <br /> Reimquished by Company Date Tmie Recen•cd by Company Date-Time <br />