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KIS CHAIN OF CUSTODY RECORD <br /> SEND RESULTS TO ALL PARTIES LISTED BELOW.• <br /> EE . <br /> Fionn O'Neill Fionn@kleenblast.com <br /> Industrial Services <br /> 50 Oak Court, Suite 210 <br /> Danville, CA 94526 <br /> ':)-Oq <br /> Phone 925-831-9800-Fax 925-831-9183 k,i1�4 l3G qln� S�lu�latS. <br /> Project ' CLIENT- <br /> 13 <br /> ?a I "I I {(1riSol a-h nS <br /> Number <br /> COLLECTED BY:. W61IX-71V V xk} <br /> SPECIAL <br /> INSTRUCTIONS: <br /> I CAM 17-TTLC, STLC 10X RULE,TCLP as needed SELECT T Metal FIE 72hrs Standard Rate <br /> ANALYSIS <br /> )�8 Metall STLCLP TURNAROUND ( ) 48hrs SR+ 25% Premium <br /> REQUESTED ( ) Other, <br /> o in TIME DESIRED BY ( ) 24hrs SR+ 30% Premium <br /> ( ) Other, Notte n Special Instructions Section MARKING OR ( ) Same Day SR+50% <br /> HIGHLIGHTING <br /> Sample ID Lah ID Collection; Matrix Notes or Sample Map, Etc. <br /> Date <br /> Solid <br /> Solid <br /> Solid <br /> I <br /> By my signature below I attest that this sample was collected in accordance with KIS'sample directive SOP#1-B or y other regulatory compliant means. <br /> 1' <br /> RE-'J'r-auish 1:1;:ke /c' Received By: Date ���(JJJ���I <br /> 77 <br /> &Time `4 <br /> krelinquished By: Date l Received By: Date <br /> &Time &Time <br /> Relinquished By: Date Received By: Date <br /> &Time &Time <br /> Send Sample To: Enviro-Chem, Inc. Laboratories <br /> 1214 E. Lexington Avenue <br /> Pomona, CA 91766 <br /> Ph: 909-590-5905 <br /> Fax: 909-590-5907 <br /> CA-DHS ELAP Certificate#1555 <br /> CAKIS DOCS\Recycling Docs\CoC\090928-01—CoC_Standard.doc <br />