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❑ ❑ ❑ ❑ L e <br /> F2,7 lY? 00 <br /> TestAmerica San Francisco N <br /> 12217 Quarry t.ane TGstmGnca o <br /> Opp Chain of Custody Record nUv IN nr,+stovtnta.jas =.,stsas It <br /> l'leasaniun,CA 94566 <br /> phone Q_'5 48A IQ€v fa%Q25 600 3oW TestAnterica Laboratories,Inc. <br /> Client Contact Project Manager: Sinavak Acharva Site Contact hiarkCzipka Date: CVC No <br /> ECM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: l t at CnCs <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> Costa Mesa,CA 92626 Calendar I C)or Work Days I W) C <br /> (714)662.2759 Phone FAT rdiferent from Bebe _ <br /> (714)662-2758 FAX © 2 u•ceks `,l, $ SDG No <br /> Project Name- Nestle Q 1 week <br /> Site Ripon.CA 2)days .i is T <br /> P O# I day m v <br /> Semple a at p <br /> Sample Identification Sample Date Time Pres. Matrix t-rr,t. y Sample Specific Notes <br /> RC-2 r(fTl S� HCI H2O 3 <br /> rn <br /> 0 <br /> 00 <br /> 0 <br /> z� <br /> co <br /> a_ <br /> 720-85956 Chain o1 Custody <br /> Preservation Used: 1=Ice. 2=HCI; 3=H2SO4; 4=HNO3, -5-NaOH;6-Other <br /> Possible Hazard Identification Sample Disposal(A fee maybe assessed if samples are retained longer than 1 month) <br /> ® Vow-Hu_urd © blamnwhle C—] Skin Irrnwat Pmmol BED (rnkr""n =Return To Client Disposal By Lab =Aroh,,,For Months <br /> Special Instructions/QC Requirements&Comments: NO GEOTRACKER ` <br /> A 1 <br /> dc." <br /> Relinquished by y Company I DaWT e t Recenod by Company Test Amenca Dmc lme <br /> 1} ECM consultants t A '�� y�`a..®-�" l bg 0 <br /> Relinquished by Company Date/l*tni7 Recer'ed by. Company Date/71me <br /> `� 1 71 a0 � 'tfl �Z4 4-j l w <br /> Relrnquishcd b} C'ompanv Date'nme Received by Company Daterrinic <br />