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❑ ❑ ❑ ❑ L e <br /> 00 <br /> TestAmerica San Francisco <br /> 1a20 Quart,lane oW1 TestAmenca <br /> Chain of Custody Record r.t_ E At)�H IN LN M[C,SIAL Nlit i• rfN ra L0 <br /> Pleasanton,CA 144566 <br /> phone 92S 484 1919 fax 1425 600 3002 TestAmerica Laboratories,Inc. <br /> Client Contact Project Manager; Binsyak Acharya site'Contact:Mark Czipka Date: S ) COC No <br /> ECM Consultants Tcl/Fax: (661)255-1693 Lab Contact,Dimple Sharma Sampler: {;S ctrY)atL _ _ of COCl <br /> 3525 Hyland Ave Suite 200 Analysis Turnaround Time Job No <br /> F�h <br /> Costa Mesa,CA 92626 Calendar f C I or Work Days(W). C ? <br /> (714)662-2759 Phone TAT ifd,ffereni Gom solo. <br /> m <br /> (714)662-2758 FAX © 2 weeks $ SDG No <br /> Project Name. Nestle 1 week <br /> Site Ripon,CA 0 2 days <br /> P O# D I day e e <br /> L 0. <br /> w w <br /> Sample M or 0 C <br /> Sample Identification Sample Date Time Pres. matrix Cont. 5 Sample Specific Notes <br /> RPS-1 HCI 1120 3 X <br /> 1051 Robert 3 ,U 11C1 11.20 3 X <br /> M <br /> O <br /> M <br /> D <br /> t� <br /> CU <br /> a_ <br /> Preservation Used; l=lee, 2=HCI; 3=H2SO4; 4--HNO3; ';--NaOH;6=Other <br /> Possible Hazard Identification Sample Disposal(A fee maybe assessed if samples are retained longer than i month) <br /> © Non lla:_urd Hummuhle LLISkin Irrrlrrnt I'nr.vun k� l btknna n ©Return To Client ®Disposal By Lab =Archive For Months <br /> Special InstructionslQC Requirements&Comment,; NO GEOTRACKER t <br /> a <br /> I � <br /> Relinquished by Company Dai ft' e Received by Company Test America Daie I i e <br /> ECM Consultants y03 � �) 5- r O 9 c U <br /> Relinquished by Company Daleff1mij Company Daterrime <br /> Relinquished by Company Dateirirtte Received by Company Daterrtme <br />