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LAB -FAX RESULTS TO PARTIES LISTED BELOW. <br /> :w <br /> KIS'Dir. of Operations 925-831-9183 <br /> INDUST RVICES <br /> Hayward Facility Mgr. 510-471-2447 <br /> 30028 Industrial Parkway S.W., Hayward, CA 94544 <br /> Ph: 510-471-2100 <br /> SFO-1f-er&l CLIENT: <br /> JOBSITE: <br /> COLLECTED BY: <br /> SPECIAL <br /> INSTRUCTIONS. <br /> CAM-17 (TTLC)-- Based on TTLC results run next SELECT THE 72hrs Standard Rate (SR) <br /> ANALYSIS appropriate test except for copper, only run an STLC ifTURNAROUND 48hrs O - SR + 25% Premium <br /> REQUESTED Cu's 2000 mg/kg or greater. 24hrs O - SR + 30% Premium <br /> TIME DESIRED: Same Day O - SR+50% <br /> Sample ID Lab ID , Collection Matrix Notes or Sample Map, Etc. <br /> _ r <br /> Date <br /> Solid <br /> Solid <br /> Solid <br /> RUSH ` <br /> By signing below I atte h submitted samples have been collected In accordance with KIS'sample directive SOP#1-B,or by other regulatory compliant means. <br /> Relinquished By: Date:5�� Received By: Date . Q <br /> Relinquished By: Date Received By: Date <br /> rF- <br /> Relinquish By: Date Received By: Date <br /> Relinquished By: Date Received By: Date <br /> SEND SAMPLE TO: Enviro-Chem, Inc. Laboratories <br /> 1214 E. Lexington Avenue REMINDER ! <br /> Pomona, CA 91766 Be sure you've called <br /> Ph: 909-590-5905 Hayward to get an SFO #. <br /> Fax: 909-590-5907 Samples that are submitted <br /> CA-DHS ELAP Certificate #1555 without numbers will not be <br /> processed by laboratory. <br /> KIS CHAIN OF CUSTODY RECORD <br /> SOP#1-B CoC—6/04 <br />