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❑ ❑ ❑ ❑ L e <br /> TetAmerica San Francisco TestArnerica <br /> I22 <br /> 0Quarty lane 4 R <br /> Chain of Custody Record THE LrAveR W EMVIROmmeou K TEaT1Nu LO <br /> Pleasanton,CA 94566 <br /> Phone 925.484.1919 fax 925.60D.3002 TestAmerica Laboratories,Inc. <br /> cunt contact Project Manager.. Btnoyak Acbarya site Contact:Marls Czlplm nate: COC NO: <br /> ECM Constdtatds eWax: (66l 255-1693 i ab Contacr Dimple St+arma Sampler. ;S C aII11tk E _ of COCl <br /> 3525 Hyland Ave Suite 200 AnalysisTurnoroand Time Job NO, <br /> COMB Mesa,CA 52626 Calendar(C)orwork (W): C <br /> (714)662-2759 Phone TATddiara-, ftmtiebw <br /> (714}662-2758 FAX © 2 weeks $� ' <br /> Pmo d Name: Nestle I week a <br /> Site: Ripon.CA CD 2 days <br /> m <br /> P O# I day <br /> ne. a <br /> m m <br /> sample A,� <br /> SampleDate Time Peer. Matrix �q � Sara 5 i it Notes: <br /> RPS-1 7.I )` '•�D HCI H2O 3 X <br /> 1851 Robert HCI H2O 3 X <br /> M <br /> O <br /> N <br /> N <br /> CU <br /> [L <br /> Preaerveflan Used: f=tee, 2-Fla; 3-WSD4: 4=HNO3: 5-NoOHO 6-Older <br /> Posafblr Hazard f&wWkalloN samara (A lige N►nyt�assessed saatnpfes are r ttMted Aonger Eharr t.Aarra, <br /> © Now-flazarrd 0 Ftan"aoble 1=1 Am bream POWM B=l TIANOWN 1:3 C='RGWM To 0980 ©DlB,.W By UM C:3AM G FOr Montdty <br /> peedel Lmamedcas/OC Rquiremmts&con manes: NO GEOTRACKER <br /> Relinquished by: Company: Received by: Compmry:Test America t>ate/Ti a <br /> ECM Consultants �3� CA 10 �-- 95T3 r r OT w <br /> Relinquished by: Company: Date/Time: Received by: Company Dwrime: <br /> Relinquished by: Company: Date/time: Roccived by: company DaWTimc: <br />