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KIS CHAIN OF CUSTODY RECORD <br /> SEND RESULTS TO ALL PARTIES LISTED BELOW. <br /> Kaw Fionn O'Neill Flonn@kleenblast.com <br /> Industrial Services <br /> 50 Oak Court,Suite 210n` , <br /> Danville,CA 94526 1VD� a� `t?din �h:ZDq -qg2_0�22 <br /> Phone 925-831-9800—Fax 925-831-9183 ti , l .gG i WACA <br /> I�u ber.�0�������Project CLIENT: ¢, �- l,. <br /> COLLECTED BY: <br /> SPECIAL <br /> INSTRUCTIONS: <br /> CAM 17-TTLC,STLC 10X RULE,TCLP as needed SELECT rHa klt2hrs Standard Rate <br /> ANAL1tlS ) 8 Metal TCLP TURNAROUND ( ) 48hrs SR+25%Premium <br /> REQUESTED ( ) 17 Metal STLC TIME DESIRED BY ( ) 24hrs SR+30%Premium <br /> ( ) Other,Note in Special Instructions Section MARKING OR { ) Same Day SR+50% <br /> HIGHLIGHTING: <br /> Sample ID Lab ID Collection Matrix Notes or Sample Map, Etc. <br /> Date <br /> solid <br /> Solid <br /> Solid <br /> By my signature below 1 attest that this sample was collected In accordance with KIS'sample directive SOPNI-B y other regulatory compliant means. <br /> fteiinquls a#a g''t 3—.�N Received By Date 6 <br /> &Time rG� � &Time <br /> �'� <br /> er quished By' Dale vL 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 /> CAK15 DOCMRccycling DocsIC00509072B-01_COC Standard,doe <br />