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❑ ❑ ❑ ❑ L e <br /> 00 <br /> +/� �ry �y <br /> Te� Am erleta San Francisco o� Testrkm 1 ca MW civ <br /> Z.0 Chain of Custody Record r,_�a�t�,N two,,�r>.,,�,. „5„r= 00 <br /> Pleasanton,CA 9J5[6 <br /> phone 925.184 1919 lax 425 600 3002 '1 estAmeriea laboratories,Inc. <br /> Client Contact Project Manager: Bbnyak Ackarya Site Contact:Mark caipka Date: 1 4 COC No <br /> ECM Consultants Tel/Fax: (661)255-1693 Lab Contact:Dimple Sharma Sampler: x, or COCl <br /> 3525 Hy3and Ave Suite 200 Analysis Turnaround Time <br /> Job No <br /> Costa Mesa,CA 92626 Calendar(C or Work bays f W 1 C <br /> (714)662-2759 Phone tAT,Cd fferum Srom t3elow_ __ t <br /> (714)662-2758 FAX 2 weeks SDG No <br /> Protect Name: Nestle O 1 week <br /> Site Ripon,CA C� 2 days N <br /> P O# I� I day od <br /> w <br /> 4 <br /> Sample a or g <br /> Sample Identification Sample Date Time Pres. 6fat U C..1. Sample Specific Notes <br /> TB- C_4"\ 101!5b FOCI 1120 2 x <br /> 7501 KIFRNAN 2008 EFF HCI F120 3 ]XI 1 <br /> 7501 KIERNAN 2008 141[U FICI 1420 3 X cN�l <br /> 0 <br /> rn <br /> 0 <br /> 5725 HALL 2009 EFF 1��11 I�6 ��j� IICI 1120 3 x 11 <br /> 5725 HALL 2009 MID NCI H2O 3 x <br /> 720-88168 Chaln of Custody <br /> Preservation Used: 1=fee, 2=11C1; 3=H2SO4; 4--HNO3; 5=NaOH;6=Other_ <br /> Possible Hazard Identification Sample Disposal{A fee may be assessed ff sample$are retained longer than 1 month) <br /> ® Non-Hu-'ard = Flammable © Mae?Irrtiuru Pwwu H© Unknax'n ©Return To Client ®Disposal By Lab ©Archive Fpr Months <br /> Special Instructions/QC Requirements&Comments: NO GEOTRACKER o <br /> c V <br /> Relinquished by Company Date/Ti a Received by Company, Test America Dare Time r' <br /> ECM Consultants X21 r3� tea <br /> Relinquished by Company Date me Received y Company DaL imc <br /> Relinquished by Company Date11mte Recc ed:by Companv DatelTirne <br />